Home Health Medical Billing and coding Able Home HealthcareHome Health Medical Billing and codingSan Diego, CAFull timeAble Home Healthcare in San Diego, CA is looking for a detail-oriented and experienced Home Health Medical Billing and Coding Specialist to join our dedicated team. Our team members love working here because we foster a supportive, mission-driven culture where every role — including yours — makes a real difference in people's lives.
Coding Administrative Assistant Military, Veterans and Diverse Job SeekersCoding Administrative AssistantSan Diego, CaliforniaThe physical demands described here are representative of those that must be met by an employee to successfully preform the essential functions of this job. Sends requested information to Hospital/ASC sites while abiding by HIPPA constraints.
Revenue Cycle Billing Specialist MeBeRevenue Cycle Billing SpecialistSan Diego, CaliforniaRemoteThe ideal candidate understands what it takes to move a claim from submission to payment, knows how to identify the root cause of claim issues, and is comfortable communicating with insurance payers, providers, and internal teams to resolve outstanding balances. Research and resolve claim status, denials, rejections, underpayments, overpayments, recoupments, and payment discrepancies, including review of EOBs/ERAs and payer adjudication.
Customer Service Billing Specialist I Breg, Inc.Customer Service Billing Specialist ICarlsbad, CA$21–$26 / hourPart timeActual pay is based on many factors unique to each candidate, including but not limited to geographical location, work experience, skill set, relevant trainings and certifications, and business needs. You bring expertise in the ability to communicate effectively both written and verbally and are eager to contribute to a team that is committed to delivering exceptional patient outcomes.
Billing & Collections Representative II - PFS - RCSSD Rady Children's HospitalBilling & Collections Representative II - PFS - RCSSDSan Diego, CA$23.10–$31.77 / hourJOB SUMMARY: Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances from all payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims. This incumbent is expected to accurately analyze each denial received by reviewing the patient acct, the remittance codes from Explanation of Benefits (EOB) and Remittance Advice (RA).
NewBilling & Collections Representative I - PFS - RCSSD Rady Children's HospitalBilling & Collections Representative I - PFS - RCSSDSan Diego, CA$23–$28.88 / hourIncumbent will verify appropriate use of Current Procedural Terminology (CPT) and International Classification of Diseases, 10th Revision (ICD-10) codes and modifiers for all charge sessions/encounters utilizing Rady specific warnings and CCI edits flagging the charges routing to the billing system. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor processing, They are to correct all errors or warning flags to ensure clean claim submission.
Medical Biller - Ophthalmology La Jolla LASIK InstituteMedical Biller - OphthalmologyLa Jolla, CAWith a highly personalized and medically world-class system of patient care, La Jolla LASIK Institute makes dreams come true for people frustrated with the limitations of glasses and contact lenses. If you feel you are an outstanding, professional medical biller and would like to join a dynamic, growing company, please submit your resume, cover letter, and a joke (so we know you read all the way to the bottom and are not just spamming us) through the website.
Manager Billing Automation Veracyte IncManager Billing AutomationSan Diego, CA$147,000–$160,000 / yearThe ideal candidate is an experienced engineering leader who has successfully delivered enterprise software and AI-enabled solutions, enjoys building high-performing teams, and is passionate about leveraging emerging technologies to solve meaningful business challenges in a regulated healthcare environment. Our Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development.
Epic Denials Manager DeloitteEpic Denials ManagerSan Diego, CARemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Medical Biller A SEED OF CHANGE Marriage and Family Therapy Center, Inc.Medical BillerCarlsbad, CAPart timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Medical Biller - Hospital - Commercial Biller Guidehouse IncMedical Biller - Hospital - Commercial BillerSan Marcos, CA$38,000–$63,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers.
Medical Biller - Hospital - Commercial Biller GuidehouseMedical Biller - Hospital - Commercial BillerSan Marcos, California$38,000–$63,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers.
Medical Office Specialist University Health Services IncMedical Office SpecialistTemecula, CASouthwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, and Riverside Medical Clinics. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Medical Informatics Analyst, Consultant Blue Cross and Blue Shield AssociationMedical Informatics Analyst, ConsultantSan Diego, CAThe successful candidate will act as "two-in-a-box" collaborator to share LOB Membership Retention & Growth goals, and Covered CA regulatory reporting, translate complex business problems into structured analytical approaches, design smart analytical tools, and leverage internal data structures to uncover CoHC optimization and member acquisition opportunities. Reporting to the Sr Manager of Medical Informatics, this role is responsible for acting as an AI & Analytics partner to key leaders and cross-functional stakeholders across IFP, Actuarial, HQA, Network Operations, and Finance to achieve their Growth-related business objectives.
Medical Assistant Back Office - OSNC STC - Full-Time - Day Shift Sharp HealthCareMedical Assistant Back Office - OSNC STC - Full-Time - Day ShiftCarlsbad, CaliforniaThe 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. Knowledge, Skills, and Abilities Demonstrated knowledge of and skill in interpersonal relations, customer service, detail-oriented, problem solving, teamwork, creativity/innovation and meet variable workloads, required.
Medical Assistant Back Office - OSNC STC - Full-Time - Day Shift Sharp Health PlanMedical Assistant Back Office - OSNC STC - Full-Time - Day ShiftCarlsbad, CA$25–$25.69 / 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. Demonstrated knowledge of and skill in interpersonal relations, customer service, detail-oriented, problem solving, teamwork, creativity/innovation and meet variable workloads, required.
Denial and Appeals Coordinator Full Time Knight Health Holdings LLCDenial and Appeals Coordinator Full TimeSan Diego, CAThis role actively tracks, organizes, and reports denial activity, partnering with case management teams, the Centralized Business Office, managed care, facility controllers, Clinical Denials Management, and Regional leadership to ensure alignment and swift resolution. The Denials & Appeals Coordinator serves as the operational driver for timely and effective denial management, working closely with other members of the team, especially utilization management, to ensure no step is missed in preventing and resolving authorization-related denials.
Medical Assistant (Flex) - Vista Planned Parenthood of the Pacific SouthwestMedical Assistant (Flex) - VistaVista, CA$23–$23.75 / hourPPPSW recognizes that decisions about pay and benefits have a significant impact on staff, and we work diligently to ensure all positions are compensated competitively as compared to other similar positions in the community. Planned Parenthood of the Pacific Southwest is one of the largest providers of sexual and reproductive healthcare in Southern California, operating 20 health centers throughout our three-county region.
Medical Assistant (Flex) - San Diego (English/Spanish bilingual required) Planned Parenthood of the Pacific SouthwestMedical Assistant (Flex) - San Diego (English/Spanish bilingual required)San Diego, CA$23–$23.75 / hourPPPSW recognizes that decisions about pay and benefits have a significant impact on staff, and we work diligently to ensure all positions are compensated competitively as compared to other similar positions in the community. Planned Parenthood of the Pacific Southwest is one of the largest providers of sexual and reproductive healthcare in Southern California, operating 20 health centers throughout our three-county region.
Access Service Representative - Ancillary - Center Drive (Grossmont) - Days and Evenings - Per Diem Sharp HealthCareAccess Service Representative - Ancillary - Center Drive (Grossmont) - Days and Evenings - Per DiemLa Mesa, CaliforniaCoordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. This role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews directly with patients and/or their designated representatives.