Medical Claims Examiner Ultimate Staffing ServicesMedical Claims ExaminerPasadena, California$26–$29 / hourWe are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.
Medical Biller United Surgical Partners InternationalMedical BillerTorrance, CARequirements KNOWLEDGE, SKILLS, QUALIFICATION and EDUCATIONAL AND /OR EXPERIENCE REQUIREMENTS: High school diploma or equivalent. United Surgical Partners International is a publicly traded company that specializes in the development and operation of Ambulatory Surgical Facilities in the U.S. and the UK.
Business Manager 360 External Hays CareersBusiness Manager 360Burbank, CaliforniaWe encourage applicants from all groups and have active employee resource groups you can tap into from day one, including the Pride Network, Black Excellence Network, WE Lead (for female leaders), and groups supporting Veterans, Neurodiverse individuals, South Asians, and individuals interested in Sustainability. A career at Hays means working with skilled people from diverse backgrounds who are encouraged to think beyond, building partnerships across regions while united by the Hays spirit and guided by our belief to always do the right thing.
NewFacility Operations and Customer Experience Manager Pacific Neuropsychiatric SpecialistsFacility Operations and Customer Experience ManagerIrvine, CaliforniaThe Manager is responsible for maintaining positive, collaborative working relationships with facility staff and key stakeholders, resolving escalated concerns, supporting regulatory and organizational compliance, ensuring operational efficiency, and fostering effective cross-team collaboration. This position serves as a primary point of leadership for clinical support services provided to mental health and substance use disorder facility programs, including outpatient programs such as PHP, IOP, and OP, as well as residential treatment homes and other contracted care settings.
Therapy Authorization / Insurance Verificat Easy RecruiterTherapy Authorization / Insurance VerificatLos Angeles, CaliforniaOur growing Therapy Department is searching for an authorization and insurance verification specialist, responsible for verifying insurance benefits and obtaining authorization required for therapy visits. Computer experience and accuracy in data entry regarding patient appointments and scheduling, attention to detail.
Administrative Legal Assistant DK Law's Open RolesAdministrative Legal AssistantCosta Mesa, CaliforniaThe ideal candidate will assist with settlement negotiations, maintain organized and complete case files, track important deadlines, obtain necessary documentation, and provide clients with timely updates throughout the process. This role is ideal for a proactive, detail-oriented legal professional who understands the pre-litigation process and is comfortable communicating regularly with clients, insurance adjusters, opposing counsel, medical providers, and other parties involved in a claim.
Onsite Customer Care Representative - City of Hope Duarte InfuSystem CareerOnsite Customer Care Representative - City of Hope DuarteDuarte, CaliforniaInfuSystem provides the sale, rental, lease and associated supplies, including infusion pumps, nerve blocks for acute pain, nerve block catheters, postoperative pain pumps, central venous catheters, IV pumps, pole-mounted pumps, syringe pumps, enteral pumps, Huber needles, clean room supplies, IV extension tubing, pump tubing, ambulatory pumps, replacement pumps, disposable products, central venous access devices, closed system transfer devices, negative pressure wound therapy vacs, wound vac, and chemotherapy and oncology infusion pumps. Biomedical services include both on-site and depot preventive maintenance, repair and warranty services, ranging from equipment inspections to extensive repairs, including compression device systems, defibrillators, EKG machines, electrosurgical units, external pacemakers, humidifiers, infusion pumps, LCDs, light sources, modules, patient monitors, printers, pulse oximeters, telemetry transmitters and tourniquets – all completed to factory specifications.
Procurement Operations Specialist Zenlayer IncProcurement Operations SpecialistDiamond Bar, CAThis team member will ensure the timely, accurate, and compliant execution of procurement operations by managing purchase orders, supplier invoices, payment requests, and procurement data, while supporting reliable financial reporting and operation. They enjoy working with operational and financial data, take ownership of issues until they are resolved, and consistently seek ways to improve process efficiency and data accuracy.
Front Desk Clerk (Guest Experience Specialist - 197 - Residence Inn & Fairfield Inn Tustin (Tustin, CA) Huntington Hotel GroupFront Desk Clerk (Guest Experience Specialist - 197 - Residence Inn & Fairfield Inn Tustin (Tustin, CA)Tustin, CAWhether handling operational needs, addressing guest requests, completing reports, supporting food and beverage service when needed, or sharing local highlights, you help make every interaction feel like part of the experience. Huntington Pacific Hotels LLC manages and develops Marriott- and Hilton-branded hotels with a focus on strong operations and memorable guest experiences.
Director, Patient Financial Services (PFS) - Healthcare CBO GuidehouseDirector, Patient Financial Services (PFS) - Healthcare CBOEl Segundo, CaliforniaThe Patient Financial Services Director (Hospital Revenue Cycle) is responsible for the overall management of the Hospital Client PFS department operations, including patient accounting, credit and collections, denial management, and other related key revenue cycle activities. The Director will define and achieve departmental objectives, manage billing and follow-up of patient accounts, compliance with third party payer regulations, and work with company resources to assure ongoing improvements to key revenue cycle indicators.
Director, Patient Financial Services (Pfs) - Healthcare CBO GuidehouseDirector, Patient Financial Services (Pfs) - Healthcare CBOEl Segundo, CA$130,000–$216,000 / yearWhat You Will Do: The Patient Financial Services Director (Hospital Revenue Cycle) is responsible for the overall management of the Hospital Client PFS department operations, including patient accounting, credit and collections, denial management, and other related key revenue cycle activities. The Director will define and achieve departmental objectives, manage billing and follow-up of patient accounts, compliance with third party payer regulations, and work with company resources to assure ongoing improvements to key revenue cycle indicators.
Sr Medicare Medicaid Biller Collector Prime Healthcare Management IncSr Medicare Medicaid Biller CollectorInglewood, California$25.70–$38 / hourFull timeThis includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. Responsibilities: The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid.
Sr Managed Care Biller/Collector Prime Healthcare Management IncSr Managed Care Biller/CollectorOntario, California$23.94–$38 / hourFull timeThis includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. Responsibilities: The Senior Managed Care Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for managed care.
Customer Accounting Specialist II (50895) Western Growers AssociationCustomer Accounting Specialist II (50895)Irvine, CAThe Customer Accounting Specialist II supports the financial and accounting activities of the Third-Party Administrator (TPA) by managing invoices, reconciliation, reporting, and coordination with internal and external stakeholders. Perform monthly, quarterly, and annual account and member enrollment reconciliations; calculate, identify and resolve variances in payments, remittances, enrollments, and invoice applications.
Eligibility Specialist II (50925) Western Growers AssociationEligibility Specialist II (50925)Irvine, CAThe Eligibility Specialist II requires the ability to process enrollment and billing functions, both automated and manual, with in the company's processing system necessary to maintain Western Growers Assurance Trust (WGAT) and Pinnacle Claims Management, Inc. (PCMI) accounts) as assigned including groups that submit Electronic Data Interchange (EDI) eligibility. Provide timely and effective Customer Service to clients for requests, inquiries, or issues concerning enrollment and/or billing items on their account via phone calls by logging into Genesys and taking calls based on daily phone schedule.
Cash Posting Specialist Pennant ServicesCash Posting SpecialistLos Angeles, CaliforniaRemotePartnering with other billers, Revenue Cycle Portfolio Leaders, and Service Center AR Resources within the Home Health & Hospice Segment in shared ownership to ensure a world-class AR function across the organization. We believe in great work, and we celebrate our employees' efforts and accomplishments both locally and companywide, recognizing people daily through our Moments of Truth Program.
Senior Claims Examiner - 4850 Athens AdministratorsSenior Claims Examiner - 4850Orange, CaliforniaATHENS POSITION DETAILS Position Title: Senior Claims Examiner Department: Workers’ Compensation California Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 12 Career Ladder: Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. The Senior Claims Examiner will adjust police and fire 4850 workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.
Negotiator WPP MediaNegotiatorLos Angeles, California$45,000–$90,000 / yearWith exceptional talent, trusted data and intelligence, and world-class partnerships – all united by our pioneering agentic marketing platform, WPP Open – we help clients navigate change, capture opportunity, and deliver transformational growth. . Working under moderate direction and supervision, the Negotiator, Audio Focus is an audio specialist who works collaboratively with planning groups and clients and is responsible for the negotiation, execution, and stewardship of all audio for assigned clients.
Senior Payment Integrity Analyst Inland Empire Health PlanSenior Payment Integrity AnalystRancho Cucamonga, California$91,249.60–$120,910.40 / yearFull timeReporting to the Manager, Payment Integrity Operations, the Senior Payment Integrity Analyst provides lead level analyst support to a team of Payment Integrity Analysts on daily operations of vendor(s) and internal programs for Payment Integrity. Data Analysis & Reporting : Develop and refine complex audit data mining techniques to detect irregularities, billing trends, and potential Fraud, Waste, and Abuse (FWA) and translate insights into actionable remediation strategies.
Senior Claims & Participant Services Specialist Ultimate Staffing ServicesSenior Claims & Participant Services SpecialistBurbank, California$55,000–$65,000 / hourThis highly visible role serves as a key point of contact for health plan participants, providers, hospitals, and physicians while also supporting process improvement initiatives across claims operations. This position offers the opportunity to make a meaningful impact by improving participant experiences, resolving complex claims issues, and contributing to operational excellence.