Medical Billing Specialist Unicare HealthMedical Billing SpecialistThousand Oaks, CAFull timeFounded in 1988, Unicare Health helps patients with complex medical needs thrive at home through compassionate care, expert clinical support, and trusted partnership with families and healthcare providers. Patient-friendly customer service skills are critical; this role carries a meaningful volume of inbound and outbound patient and family calls, including escalations, and requires warmth, patience, and professionalism on every one.
Billing Specialist West Coast AmbulanceBilling SpecialistBurbank, CaliforniaYour role will involve accurately processing and managing medical billing claims, ensuring timely reimbursements, and helping to maintain our financial stability. We are looking for a full-time and if you're a dedicated Billing Specialist ready to contribute to the success of a leading healthcare provider, we want to hear from you!
Medical Billing Clerk Ultimate Staffing ServicesMedical Billing ClerkPasadena, California$23–$27 / hourThe ideal candidate will be responsible for submitting and following up on insurance claims, ensuring accurate billing, and supporting revenue cycle operations. Communicate with insurance providers, patients, and internal teams regarding billing inquiries.
Medical Biller VICTORY HEMATOLOGY AND ONCOLOGY INCMedical BillerSherman Oaks, CAFull timeHas 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.
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.
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.
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.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)Alhambra, CaliforniaRemoteThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union)Alhambra, CARemote$99,507–$130,000 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Insurance Billing Specialist (Transplant) - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaInsurance Billing Specialist (Transplant) - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$30.16–$47.01 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Maintains current understanding of specialized (Global Transplant Billing process), payer-specific, transplant billing requirements for the purpose of billing claims in accordance with contract agreements, for all government and non-government payers.
AVP, Medical Economics - REMOTE Molina Healthcare IncAVP, Medical Economics - REMOTECARemoteAdvanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. Leads and directs Strategic and Clinical Analytics team members in Medical Economics who are responsible for healthcare analytics and program evaluation, translating complex data into actionable insights that inform clinical, operational, and strategic decision-making.
Dental 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.
Collector Surgery PartnersCollectorEncino, CAThis role requires a strong understanding of medical terminology, coding systems, and billing processes to effectively communicate with patients and insurance companies. The ideal candidate will be responsible for managing the collection of outstanding medical accounts, ensuring compliance with regulations, and maintaining accurate records.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Costa Mesa, CA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Collector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaCollector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Pasadena, CaliforniaResponsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology. System Folder Notes / Account Documentation Documents claim bill date, billed amounts, billing address, billing attachments, invoice number, expected payment, contractual amount, received payments, actual transplant date(s), type of transplant, pre and post periods for transplant days, and all pertinent billing data relevant to billing the claim.
Specialty Physician Coder IconmaSpecialty Physician CoderFountain Valley, CA$38.65–$41.69 / hourAnalyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
Specialty Physician Coder ICONMA, LLCSpecialty Physician CoderFountain Valley, CA$38.65–$41.69 / hourAnalyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
Sr. Medical Claims Processor Ultimate Staffing ServicesSr. Medical Claims ProcessorPasadena, California$24–$29 / hourEnsure accuracy of claim details, including patient information, coding (ICD-10, CPT, HCPCS), and billing data prior to submission. Investigate and resolve denied, rejected, or pending claims by working with providers, payers, and internal departments.
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.
Medical Assistant Floater ST. JOHNS WELL CHILD AND FAMILY CENTER, INC.Medical Assistant FloaterLos Angeles, CAInterview patients, take vital signs (such as pulse rate, temperature, blood pressure, weight and height) and record information; Properly utilize Electronic Health Records system, recording all required and/or relevant information in the system; Prepare treatment rooms for examination of patients; Drape patients with covering and positions instruments and equipment; Hand instruments and materials to medical provider as directed; Clean and sterilize instruments; Operate X rays, electrocardiograph (EKG), and other equipment to administer routine diagnostic test or calls medical facility or department to schedule patients for tests; Give injections or treatments, and performs routine laboratory tests; Key data into computer to maintain office and patient records as necessary (Misys, LINK); Keep exam and treatment rooms clean, well-stocked; Set up equipment in exam rooms; Perform hearing screening, plotting growth parameters; Advise patients concerning preparation for tests; Document administration of immunizations and medications in chart; Administer immunization injections/treatments (must be done only with licensed provider on premises); Call patients to provide normal and abnormal lab results; Keep logs: lead, medications, record refrigerator temperature and zero scales daily and abnormal TB results; Calibrate lab machines as needed and urine machines monthly; Provide translation for providers or arrange for translation services; Travel between clinic sites to cover staffing shortages; Provide back-up to front desk responsibilities including receptionist duties, clerical duties such as filling out forms, answering telephones or filing; Electronic Health Record (EHR) inputting prescriptions and patient's chart; Practice Management System (PMS) Registration, Scheduling and Billing; File medical charts when needed; Maintain patient flow to reduce waiting time; Perform lab proficiency testing, run in-house lab tests, prepare outside lab specimens, check lab orders and bills for accuracy; Participate in MA review of charts; Send out Medical Records when requested by other offices; Attend staff meetings; Inventory and order medical supplies and materials; Notify Clinic Manager when supplies need to be ordered or when vaccines or medications are out; Serve as advocate for Indigent Program organizing forms for providers, instructing patients, helping patients complete forms and serving as liaison with drug companies; Comply with all personal medical requirements including but not limited to: annual physical, current vaccinations (MMR, Tdap, Influenza, Hepatitis B), and TB testing (skin test or chest x-ray); Attend meetings, training, and other work-related events as needed; and. Clinical duties may include taking and recording vital signs and medical histories, preparing patients for examinations, drawing blood, and administering medications as directed by a physician.