Insurance Specialist (Remote) - Mountain and Pacific Time Zones MeduitInsurance Specialist (Remote) - Mountain and Pacific Time ZonesCaliforniaRemoteboth in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for servicesâ¯. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.
Hybrid Benefits Specialist Ultimate Staffing ServicesHybrid Benefits SpecialistIrvine, California$45–$50 / hourAnnual Open Enrollment: Supports the annual benefits open enrollment process, including communications, system configuration, vendor coordination, and partnering closely with payroll to ensure proper benefits setup. LOA administration: Communicates the LOA process to requesting employees, initiates leaves in Sparrow, monitors LOA-related emails, and reviews and approves the semi-monthly LOA payroll report.
Emergency Medical Technician - Basic Premier Medical TransportationEmergency Medical Technician - BasicSan Bernardino, CaliforniaAdministers prescribed treatment at the site of an emergency, or in specially equipped vehicles, performing such activities as first aid, immobilization of injuries, application of splints, administration of oxygen, treatment of minor wounds or abrasions, or administration of basic life support procedures. Determines nature and extent of illness or injury, or magnitude of catastrophe, in order to establish the basic life support procedures needed to be followed, basing decisions on statements of persons involved, the examination of victim or victims, and knowledge of the emergency medical practice.
Data Compliance Specialist II Mesa Energy Systems, Inc.Data Compliance Specialist IIIrvine, California$31–$37 / hourFull timeThe Site Data Compliance Specialist II serves as a resource for customer account structures, supports data quality initiatives, and assists in resolving complex customer, site, billing, and hierarchy discrepancies across multiple branches and departments. We are a full-service HVAC, building automation, chiller, and retrofit contractor with a reputation for combining high-quality consulting services with customized energy solutions.
Dental Office Manager Empower Dental GroupDental Office ManagerRancho Cucamonga, CAFull timeAs 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. Collaborate with dentists, hygienists, assistants, and front office staff for coordinated patient care.
Collector (facility/hospital) Ledgent Finance & AccountingCollector (facility/hospital)Corona, California$23 / hourJoin a fast-paced healthcare team where you'll tackle billing challenges and keep accounts moving! Great opportunity to grow your career and land a permanent role!
Service of Process Specialist Omni-Invictus dba ArrayService of Process SpecialistIrvine, CaliforniaThis position receives orders from Client Services, assigns them to process servers, monitors progress, and ensures accurate communication and documentation for both successful and unsuccessful serves. Successful completion results in a Proof of Service, while unsuccessful attempts require a Non-Service Affidavit and follow-up before billing.
Growth Marketing Specialist (N. America) iHerbGrowth Marketing Specialist (N. America)Irvine, CaliforniaThe Growth Marketing Specialist will help implement campaign strategies, monitor performance, coordinate creative and localization workflows, maintain reporting accuracy, and ensure campaigns are launched and optimized efficiently across assigned performance media platforms. Manage day-to-day campaign operations across global performance platforms, including Google Ads, Meta Ads, TikTok Ads, Apple Search Ads, and other relevant regional paid media platforms.
Risk Adjustment Coding Specialist II Astrana Health, Inc.Risk Adjustment Coding Specialist IICA, 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.
Claim Operations Specialist TravelersClaim Operations SpecialistDiamond Bar, CaliforniaCLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. Designed as an entry point into the claims organization, this role gives individuals direct exposure to how claims are managed across multiple lines of business, including Auto, Property, General Liability, Construction, and Workers' Compensation.
Operations Specialist Customs Goods LLCOperations SpecialistJurupa Valley, CAFull timeResponsible for supporting the operation, including, but not limited to the following activities: Processing Client Orders or Receipts, Order Confirmations, Carrier Communications and Handling General Account Records. Communicate professionally, effectively and promptly with customers by telephone or written to provide information and support regarding the day to day business or whatever the inquiry that may arise by either customer or staff.
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.
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.
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.
NewEligibility 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.
NewCustomer 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.
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.
Accounting Specialist QcellsAccounting SpecialistIrvine, CA$78,500–$94,200 / yearFull timeThe Accounting Specialist will be responsible for a wide range of accounting activities, with a primary focus on Accounts Payable (AP), ensuring accuracy and compliance across financial transactions, month-end processes, and audits. Headquartered in Irvine, California, HQCA has been rapidly expanding its business in North America through the expansion of products and solutions, including distributed energy solutions, direct-to-homeowner solar sales and financing, and EPC services.
Patient Services Representative - Front Desk - Glendora, CA Island DermatologyPatient Services Representative - Front Desk - Glendora, CAGlendora, California$19–$21 / hourProductivity and Compliance: Meet or exceed departmental productivity benchmarks while maintaining a thorough understanding of billing processes and the medical services offered by practitioners. Your contributions will directly impact operational efficiency and the delivery of exceptional patient experience, supporting the overall success of our healthcare services.