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, CaliforniaRemote$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.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CA$99,507–$164,559 / 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.
Senior Claims Specialist Crum & ForsterSenior Claims SpecialistORANGE, CaliforniaRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary 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.
Claims Resolution Specialist Southern California EdisonClaims Resolution SpecialistRosemead, CAVisit our Candidate Resource (https://www.edisoncareers.com/page/show/candidate-resources) page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more! + Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advises as to proper course of action.
eBilling Supervisor(LA)(LArge Law Firm) Consultative Search GroupeBilling Supervisor(LA)(LArge Law Firm)Los Angeles, CATracking 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. The eBilling Supervisor should demonstrate expertise in the ebilling process as a whole and will be responsible for the analysis and resolution of complex eBilling issues involving electronic invoice reductions and rejections, including coordinating with involved parties to ensure appropriate communication is consistently maintained.
Senior Coding Auditor Montefiore Medical CenterSenior Coding AuditorLos Angeles, CA$76,632.04–$95,790.05 / yearThe Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts and compares the cases with the itemized bill and overall procedures.
["Senior Revenue Cycle Specialist","Senior Revenue Cycle Specialist"] Fulgent Therapeutics Llc["Senior Revenue Cycle Specialist","Senior Revenue Cycle Specialist"]El MonteInform Diagnostics, a Fulgent Genetics Company , is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology. Search firms or agencies without an applicable contract and/or express approval to recruit for the role in question - that choose to submit a resume or client information to our career page or to any employee of Fulgent - will not be eligible for payment of any fee(s), and any associated shared data will become the property of Fulgent.
Phlebotomist Santa Monica One Medical of NY, PCPhlebotomist Santa MonicaSanta Monica, CA$23–$25 / hourFlex Lab Services Specialists lend support to other One Medical locations to any location in LA market at Beverly Hills, Century City, Culver City, Downtown LA, El Segundo, Long Beach, SpaceX, West Hollywood, West LA, Woodland Hills. Continue to care for our members beyond the lab room by answering patient messages, following up on lab cases and assisting our providers and virtual medical team with clerical duties such as, but not limited to biometric screening forms, medical record and consult review, billing inquiries, and DOH reporting.
Health Info Coder II Avispa Fukuoka Co LtdHealth Info Coder IILos Angeles, CAWorksite: Leading medical institution (Los Angeles, CA 90024 - Hybrid, Must be onsite during the first month for training, then the position will be primarily remote). A leading medical institution is seeking a Health Info Coder with at least two years of experience in medical coding, billing, and abstracting.
Health Info Coder II Avispa TechnologyHealth Info Coder IILos Angeles, CA$52.79 / hourA leading medical institution is seeking a Health Info Coder with at least two years of experience in medical coding, billing, and abstracting. Perform transactional reviews in compliance with all regulatory bodies, e.g., Centers for Medicare and Medicaid Services.
Home Health Quality Assuranc / Coding Specialist CbHome Health Quality Assuranc / Coding SpecialistSanta Ana, CaliforniaThe Home Health Quality Assurance (QA) / Coding Specialist is responsible for reviewing clinical documentation to ensure compliance with Medicare Conditions of Participation (CoPs), state and federal regulations, and agency policies. This position performs ICD-10 coding, OASIS review, chart audits, and quality assurance activities to support accurate reimbursement, regulatory compliance, and high-quality patient care.
NewClaims Research Specialist - SHP Finance - Remote / Hybrid - Day Shift - Full Time Sharp Health PlanClaims Research Specialist - SHP Finance - Remote / Hybrid - Day Shift - Full TimeCARemote$30.37–$37.95 / hourThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. Develops solid professional working relationships with various internal departments and units and, as required, vendors, providers, employers, brokers and/or other customers.
A/R Specialist - Law Firm Ledgent Finance & AccountingA/R Specialist - Law FirmLos Angeles, California$35–$41 / hourThe Accounts Receivable Specialist will also create management reports, respond promptly to customer inquiries, keep management and departments updated on past due accounts, as well as prepare and generate accurate cash flow reports for management review. At least three years of accounts receivable or billing experience with a professional services organization (i.e., law firm, public accounting, consulting, software as a service - SaaS, etc.) with client billing.
Accounts Receivable Specialist Ledgent Finance & AccountingAccounts Receivable SpecialistLos Angeles, California$55,000–$70,000A well-established manufacturing company based in downtown Los Angeles is seeking a detail-oriented Accounts Receivable Specialist to join the Finance team. This role is responsible for managing customer invoicing, collections, and cash application while supporting accurate financial reporting.
Collections Representative Axelon Services CorporationCollections RepresentativeLos Angeles, CA$28–$32 / hourDocument billing activity, claim details, expected reimbursement, payments, and account actions clearly and accurately. Submit required supporting documentation, including authorizations, medical records, consent forms, and payer-specific forms.
["Project Accountant","Project Accountant"] W.E. O'Neil Construction["Project Accountant","Project Accountant"]Los Angeles$70,000–$90,000 / yearAbility to delegate to Core Services as needed for support with the preparation of outstanding voucher reports, stored material invoicing, tribal material billing paperwork, affidavits/sworn statements, joint payments for sub-tiers and suppliers, waiver collection and review, and bill rate audits. Add cost codes to projects as requested by project team members, ensuring accuracy and alignment with established project coding, coordinating with the Regional Project Accounting Manager when clarification on proper cost code assignment is needed.
Accounting and Payroll Specialist CoreTechsAccounting and Payroll SpecialistGardena, CA$58,000–$62,000 / yearThe successful candidate will possess strong accounting skills, excellent organizational abilities, and the capability to manage multiple priorities in a fast-paced construction environment. POSITION SUMMARY: G&C Equipment Corporation is seeking a detail-oriented and highly organized Accounting & Payroll Specialist to support the company's accounting, payroll, billing, and accounts receivable functions.
Government Audit Recovery Specialist Apidel TechnologiesGovernment Audit Recovery SpecialistCosta Mesa, CAContractorAs 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.
Risk Adjustment Coding Specialist II - Orange County Astrana Health, Inc.Risk Adjustment Coding Specialist II - Orange CountyOrange, California$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
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.