Medical Biller Victory Hematology And OncologyMedical BillerSherman Oaks, CaliforniaHas experience in medical billing processes including charge entry, payment posting and claim follow-up and extensive knowledge of Medicare, HMO, local IPAs, and PPO carriers. Victory Hematology and Oncology has a Medical Billing Specialist position available for a well-organized and knowledgeable Medical Billing and Coding Specialist with a Hematology and Oncology practice in Sherman Oaks, California.
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.
NewBusiness 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.
Revenue Cycle Training Specialist Pennant Group IncRevenue Cycle Training SpecialistCARemote$70,000–$80,000 / yearEstablishes and maintains positive and collaborative working relationships with AR Service Center Resources, Billers/Billing Managers, other RC Portfolio Leaders, and payors. Maintains a comprehensive working knowledge of payor contracts and ensures that agencies are billing and collecting according to contract provisions, and adjusts training courses accordingly.
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.
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.
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.
NewDental Office Manager/ Treatment Coordinator Empower Dental GroupDental Office Manager/ Treatment CoordinatorPasadena, California$80,000–$100,000 / yearPay Range DOE: $80,000-$100,000 Annually + $30,000 + performance bonus program; high performers can earn an additional $30K–$50K per year Required Qualifications High School Diploma or equivalent required. As we scale, we're looking for a creative, resourceful, and driven staff to help us share our story, strengthen our brand, and engage our growing network of patients and team members.
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.
Senior Salesforce Developer Boulevard Labs IncSenior Salesforce DeveloperCARemote$182,000–$220,000 / yearWe are seeking a highly experienced Senior Salesforce Engineer to own and evolve our Salesforce platform, with a focus on complex quote-to-cash workflows powered by Salesforce Revenue Cloud (CPQ & Billing). Before launching in 2016, our founders spent months interviewing salon managers and working behind front desks to understand their pain points so we could design a modern, user-friendly platform that meets the unique needs of their business.
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.
NewGovernment Audit Recovery Specialist - 6 TalentBurst, Inc.Government Audit Recovery Specialist - 6Costa Mesa, CA$25 / hourAs 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.
Government Audit Recovery Specialist Integrated Resources, 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), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, MediCal regulatory auditing body for pre and post payment audits. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, MediCal and other regulatory audits.
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.
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.
Audit and Appeals Recovery Specialist – Medicaid/Medicare IconmaAudit and Appeals Recovery Specialist – Medicaid/MedicareCosta Mesa, CA$25.21–$28.22 / hourAs 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.