Non-Clinical - Finance/Accounting - Financial Administrative Representative BesticaNon-Clinical - Finance/Accounting - Financial Administrative RepresentativeWhittier, CAPart time 11P-730A (Minimum guaranteed hours - 56 hours every 2 weeks) Rotating Weekends and Holidays Onsite Requirements: * Minimum High School Diploma or GED * Preferred - Evidence of continuing education in Finance, Accounting or Business Administration * 2 years experience in front office/medical billing and/or current hospital registration/admitting * 2 years experience in insurance verification and/or medical/hospital billing * EPIC EHR experience Skills: Demonstrates a clear understanding of PIH Health mission and values Ability to work directly with the insurance company, healthcare provider, and patients Ability to generate revenue with POS collections, establishing payment arrangements, along with collecting on all Self-Pay and/or high liability accounts at the point of registration. Ability to follow directions as outlined in policies or given by supervisor Strong computer skills to include typing 45+ wpm minimum and in MS office programs Excellent organizational skills Ability to exercise independent judgment at times of need and emergency situations Bilingual preferred Interacts with all levels of hospital and outside vendor staff and knowledge of government regulations Ability to multi-task in a fast and high-pressure environment Stringent adherence to all privacy policies and procedures and as required by state and federal law including and not limited to the HIPPA Security and Privacy Rules Strong analytical skills, problem solving.
Revenue Cycle Specialist III (Gastroenterology) Cedars-Sinai Medical CenterRevenue Cycle Specialist III (Gastroenterology)Los Angeles, CAPrimary duties include: Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include identifying, analyzing, resolving, and responding to our client's inquiries, concerns, and issues, and following up on accounts to ensure resolution. The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections.
Accounts Receivable Manager Los Angeles Jewish HealthAccounts Receivable ManagerReseda, California$115,000–$120,000In-depth knowledge of SNF medical insurance billing and follow-up procedures, including HMO, PPO, Medicare, Medi-Cal, Medi-Cal Managed Care, and indemnity plans. Los Angeles Jewish Health has been a trusted provider of senior healthcare for over 100 years, offering a wide range of services that prioritize excellence and Jewish values.
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.
NewPersonal Injury Lien Specialist TORKLAWPersonal Injury Lien SpecialistIrvine, CAThis 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.
NewMedical Biller Premier Health GroupMedical BillerIrvine, CAYou will work closely with patients, insurance companies, and internal teams to resolve discrepancies and ensure timely payment of services. Collaborate with patients or customers, third-party institutions, and other team members to identify and resolve billing inconsistencies and errors.
Experienced Medical Biller Renew Vein and VascularExperienced Medical BillerLos Angeles, CAFull timeResponsibilities include claim submission, payment posting, denial resolution, and working closely with providers and staff to maintain efficient revenue cycle operations. The ideal candidate will have a strong background in medical billing, coding, and insurance claim management, with a proven ability to ensure timely and accurate reimbursement.
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.
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.
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.
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.
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.
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 Assistant Specialist Chaparral Medical GroupMedical Assistant SpecialistPomona, CA$22–$25 / hourAs part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. Responsible for maintaining smooth patient flow by accurate assessment of patients' needs thorough attention to physician orders and properly scheduling and follow-up of tests and procedures performed on patient.
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.
NewInsurance 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.