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.
Manager - Arbitration Operations MaximusManager - Arbitration OperationsLos Angeles, CAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
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.
Personal Injury Case Manager EverStaffPersonal Injury Case ManagerTorrance, CA$40–$45 / hourThe ideal candidate will have a minimum of two years of experience working as a Personal Injury Pre-Litigation Case Manager. Obtain and organize evidence, including traffic collision reports, police reports, photographs, and related documentation.
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.
Zuora System Specialist Absorb Software IncZuora System SpecialistCARemoteSitting at the intersection of Salesforce, Zuora, Finance, and Sales, youll own and optimize the systems that power our SaaS subscription business-from pricing and quoting to invoicing, renewals, and revenue operations. With its innovative Strategic Learning Systems (SLS) approach, Absorb empowers businesses to align learning with strategic goals, driving measurable impact and workforce agility.
PRACTICE CRD 2 UCSF Medical CenterPRACTICE CRD 2CAUses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Explains first appointment procedures in layman's terminology to patient including required records, pathology slides and radiology films to bring or send prior to the first visit; prepares and mails New Patient Packet or sends through MyChart; provides other information requested by patient.