Collection Representative Children's Hospital Los AngelesCollection RepresentativeGlendale, CA$43,680–$65,062 / yearPurpose Statement/Position Summary: The Collection Representative is responsible for the billing and follow-up related to HMO's, PPO's, Medi-Cal, CCS, GHPP, PCCM's Managed Care and outside organizations. Childrens Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more than 350 specialized programs and services.
Manager or Senior Manager, R&D Tax Credits (AMCS) KPMG International CooperativeManager or Senior Manager, R&D Tax Credits (AMCS)Los Angeles, CA$105,640–$223,100 / yearLicensed CPA, JD/LLM or completion of an advanced degree or professional certification/designation including: MBA (Masters of Business Administration), MCM (Masters of Construction Management), PHDE (PhD of Economics), PHE (Doctor of Engineering), ME (Masters of Engineering), MSRE (Masters of Science-Real Estate), AIA (Member, Amer Inst of Architects), Enrolled Agent, LEED (Leadership, Energy & Environmental Design) Certification, PE (Professional Engineer), or SIX SGMA (Six Sigma) Certification, in addition to others on KPMGs approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list. Work with KPMGs extensive network of specialists; enjoy access to our Ignition Centers, where deep industry knowledge merges with cutting-edge technologies to create innovative tax solutions.
Front Office Assistant (Alvarado) Clínica Monseñor Oscar A. RomeroFront Office Assistant (Alvarado)Los Angeles, CAPosition Summary: Position requires excellent customer service skills with patients, employees, and the public, including but not limiting to: offering friendly, courteous, and confidential assistance to every patient to ensure that the patient has a positive experience while visiting Clinica Romero. Adheres to Clinica's Petty Cash policies and procedures, which includes completion of a daily reconciliation form, and submits all monies (cash and/or credit card receipts) to immediate Supervisor or Front Office Lead for review.
Utilization Management Coordinator I AltaMedUtilization Management Coordinator ICommerce, CA$26.91–$33.53 / hourMinimum 1 year of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations with Medi-Cal, CCS, and other government programs required. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Biller Family Health Care Centers of Greater Los Angeles, Inc.BillerCommerce, CaliforniaFull timeOverview: “To enhance the quality of life for men, women and children in the greater Los Angeles area through the provision of high quality, accessible and affordable healthcare services.”. Medical Benefits - FHCCGLA pays 100% of employee’s Kaiser; Anthem Blue Cross; Health Net; and United Health Care coverage (HMO Plan) subject to change during open enrollment.
Senior Claims Specialist, Workers Comp. - Remote Crum & ForsterSenior Claims Specialist, Workers Comp. - RemoteORANGE, CaliforniaRemoteSalary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Senior Claims Specialist, Workers Comp. Remote Crum & Forster Holdings Corp.Senior Claims Specialist, Workers Comp. RemoteOrange, CARemoteSalary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
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.
Revenue Cycle Specialist II Cedars-Sinai Medical CenterRevenue Cycle Specialist IICalifornia, CAWhat you will be doing in this role: Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, 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.
Fin Care Specialist I (Customer Service) Cedars-Sinai Medical CenterFin Care Specialist I (Customer Service)CAUnder general supervision and following established practices, policies, and guidelines, provides patient relations support to Patient Financial Services, performing duties which include identifying, analyzing, resolving and responding to customer inquiries, concerns and issues, and following up on accounts to ensure payment and resolution. You will work independently and have strong customer service skills and work well with patients, deescalate issues quickly, able to talk, think and access the system to achieve maximum customer satisfaction.
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.
Cash Operations Supervisor University of CaliforniaCash Operations SupervisorLos Angeles, CA$73,000–$149,600 / yearAs 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. The Cash Operations Supervisor oversees daily cash operations and payment posting activities supporting UCLA Health's Faculty Practice Group professional billing operations.
Clinical Trials Invoicing Specialist - Pediatrics University of CaliforniaClinical Trials Invoicing Specialist - PediatricsLos Angeles, CA$36.99–$56.35 / hourUnder the general direction of the Chief Administrative Officer (CAO), in concert with other research administrative staff, the Clinical Trials Invoicing Specialist is responsible for managing the invoicing and financial reconciliation processes associated with clinical trials. The Clinical Trials Invoicing Specialist supports the financial administration of sponsored clinical trials by reviewing study activities, generating accurate invoices, monitoring payments, and ensuring compliance with contractual and regulatory requirements.
Medical Assistant - Referral Clerk NORTHEAST COMMUNITY CLINIC, INCMedical Assistant - Referral ClerkBell, CAThe employee is regularly required to communicate, frequently required to use repetitive motions, move, remain stationary, regularly push, pull and lift up to 20 pounds and occasionally push, pull and lift up to 40 pounds. Document patient intake in the Electronic Health Record (EHR), which includes chief complaint, medical history, social history, vitals, and appropriate tests/labs performed and immunizations administered.
Registration & Financial Resolution Specialist - PST Elevate Patient Financial Solutions IncRegistration & Financial Resolution Specialist - PSTCABrings patient's accounts to resolution via immediate payment in full, setting up payment plans, post-dating payments, finding insurance, or offering settlements or discounts, as well as recognize appropriate reasons for patients to dispute balances. This position delivers exceptional customer service when communicating with patients over the phone to provide information and support related to patient services, including coordination and scheduling of diagnostic imaging and other procedures and treatments, as applicable.
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.
Utilization Management Coordinator II AltaMed Health Services CorpUtilization Management Coordinator IIMontebello, CA$26.92–$33.65 / hourMinimum 2 years of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations about Medi-Cal, CCS, and other government programs required. This Coordinator II of Utilization Management is responsible for providing support to the Medical Management department to ensure the timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines.
Biller - Administration NORTHEAST COMMUNITY CLINIC, INCBiller - AdministrationAlhambra, CAThe employee is regularly required to communicate, frequently required to use repetitive motions, move, remain stationary, regularly push, pull and lift up to 20 pounds and occasionally push, pull and lift up to 40 pounds. OSHA Category 3 - Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues are not a condition of employment.
Utilization Management Coordinator I AltaMed Health Services CorpUtilization Management Coordinator ICommerce, CA$26.91–$33.53 / hourMinimum 1 year of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations with Medi-Cal, CCS, and other government programs required. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
eBilling Supervisor Gibson DunneBilling SupervisorLos Angeles, New York$125,000–$140,000 / yearWorking collaboratively with the eBilling Supervisor as a team member to support current e-billing processes, schedules, and workloads that promote effective work practices for the eBilling Team, and completing special projects and ad-hoc requests regarding various issues, as needed. Tracking resubmission deadlines across a variety of key corporate clients and coordinating with billing specialists regarding pending issues to resolve reductions in a timely manner, and communicating with the Supervisors and the Regional Managers involving areas of concern and non-performance.