TEMPORARY

FEED

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Key Responsibilities:Process and adjudicate medical claims for payment or denialResearch claims to ensure proper documentation and complianceCommunicate with insurance carriers and employers to obtain claim detailsAssist patients by scheduling appointments and handling inquiriesCreate and maintain workers’ compensation accounts in internal systemsManage daily work queues and ensure timely task completionResolve issues, questions, and concerns from vendors and membersQualifications:Minimum 3 years of experience in medical claims, billing, or related healthcare rolesFluent in Spanish and English (required)Strong organizational and multitasking abilitiesExcellent communication and problem-solving skillsExperience with healthcare systems or EMR platforms is a plusHigh school diploma preferredWork Environment:Fully onsite role in a patient-access settingBusiness casual dress code; scrubs permittedNo travel requiredParking available in designated employee areas **Only those lawfully authorized to work in the designated country associated with the position will be considered.** Education Requirements:Preferred: High school diplomaDetails – Shift 9 AM -5 PMAbout the RoleOur client is seeking a detail-oriented and bilingual Medical Claims Processor to support daily operations in a dynamic healthcare setting.

Education Requirements:Preferred: High school diplomaDetails – Shift 9 AM -5 PMAbout the RoleOur client is seeking a detail-oriented and bilingual Medical Claims Processor to support daily operations in a dynamic healthcare setting. This role is ideal for someone with strong experience in claims processing, patient coordination, and insurance communication.Key Responsibilities:Process and adjudicate medical claims for payment or denialResearch claims to ensure proper documentation and complianceCommunicate with insurance carriers and employers to obtain claim detailsAssist patients by scheduling appointments and handling inquiriesCreate and maintain workers’ compensation accounts in internal systemsManage daily work queues and ensure timely task completionResolve issues, questions, and concerns from vendors and membersQualifications:Minimum 3 years of experience in medical claims, billing, or related healthcare rolesFluent in Spanish and English (required)Strong organizational and multitasking abilitiesExcellent communication and problem-solving skillsExperience with healthcare systems or EMR platforms is a plusHigh school diploma preferredWork Environment:Fully onsite role in a patient-access settingBusiness casual dress code; scrubs permittedNo travel requiredParking available in designated employee areas **Only those lawfully authorized to work in the designated country associated with the position will be considered.** **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.** Benefits: For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website. California Pay Equity: For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here. Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances. If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department. Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

<p>Founded in 1993 by Sue Bhatia, Rose International is <strong>one of the nation's leading minority- and woman-owned providers of Staffing and Total Talent Solutions</strong>. We serve companies in all 50 states and employ thousands of people across the country.</p>

Rose International

Medical Claims Processor Jobs in USA, CA, Bakersfield | Rose International Job

Adjudication

Calendar Management

Claims Processing

Detail Oriented

Documentation

Electronic Medical Records

English Language

Healthcare

Insurance

Medical Billing

Multilingual

Multitasking

Operational Support

Operations

Organizational Skills

Problem Solving Skills

Secondary School

Spanish Language

Time Management

UNKNOWN

This role is critical in facilitating timely patient access to care by verifying eligibility and benefits, coordinating authorizations, assisting with patient financial programs, and supporting accurate billing and check-out processes. Legacy Staffing is seeking a detail-oriented and service-focused Patient Access Specialist on behalf of a confidential healthcare client.

YEAR

<h2><b><strong>Job Title:</strong></b> Patient Access Specialist</h2><p><b><strong>Location:</strong></b> Kern County, CA<br/><b><strong>Employment Type:</strong></b> Full-Time/Temp Assignment with the potential to be hired on<br/><b><strong>Compensation:</strong></b> $21 as a temp, pay increase if hired on</p><p><br/></p><h3><b><strong>Position Overview</strong></b></h3><p>Legacy Staffing is seeking a detail-oriented and service-focused <b><strong>Patient Access Specialist</strong></b> on behalf of a confidential healthcare client. This role is critical in facilitating timely patient access to care by verifying eligibility and benefits, coordinating authorizations, assisting with patient financial programs, and supporting accurate billing and check-out processes. The ideal candidate thrives in a fast-paced healthcare environment and demonstrates strong communication, problem-solving, and organizational skills.</p><p><br/></p><h3><b><strong>Key Responsibilities</strong></b></h3><h4><b><strong>Patient Access & Eligibility</strong></b></h4><ul><li>Verify eligibility and benefits for scheduled and same-day patient appointments</li><li>Resolve registration, eligibility, and authorization issues prior to patient visits</li><li>Coordinate with health plans to assist patients in selecting or transferring to an appropriate primary care provider</li><li>Obtain prior authorizations for services and procedures when required</li></ul><h4><b><strong>Billing & Check-Out Support</strong></b></h4><ul><li>Ensure all required billing and authorization information is collected before patient checkout</li><li>Post charges for completed encounters at checkout</li><li>Review daily error reports and correct identified issues prior to patient appointments</li><li>Update patient accounts with pertinent billing and eligibility information</li></ul><h4><b><strong>Patient Support & Coordination</strong></b></h4><ul><li>Assist patients in identifying appropriate financial assistance programs based on eligibility</li><li>Coordinate patient financial needs with leadership, scheduling teams, and patient navigators</li><li>Research and clarify documentation with providers or clinical staff as needed</li><li>Maintain effective working relationships with providers, leadership, and operational teams</li></ul><h4><b><strong>Additional Duties</strong></b></h4><ul><li>Perform other related duties as assigned by billing or operational leadership</li></ul><h3><b><strong>Compliance & Organizational Participation</strong></b></h3><ul><li>Maintain strict <b><strong>HIPAA compliance</strong></b> and confidentiality of patient information</li><li>Ensure compliance with all applicable local, state, and federal healthcare regulations</li><li>Participate in <b><strong>Quality Assurance / Quality Improvement (QA/QI)</strong></b> initiatives</li><li>Learn and effectively utilize Electronic Health Record (EHR) and Practice Management Systems</li><li>Participate in patient-centered care models consistent with organizational policies</li></ul><h3><b><strong>Qualifications, Education & Experience</strong></b></h3><ul><li>High school diploma or GED required</li><li>Minimum of <b><strong>two (2) years of experience</strong></b> in billing and accounts receivable within a healthcare environment</li><li>Working knowledge of coding rules, billing regulations, and third-party payer requirements preferred</li><li>Strong customer service skills and professional demeanor when interacting with patients, staff, and external partners</li></ul><h3><b><strong>Required Skills & Competencies</strong></b></h3><ul><li>Ability to work efficiently in a fast-paced, high-pressure environment</li><li>Strong multitasking, organizational, and follow-through skills</li><li>Effective verbal, written, and interpersonal communication skills</li><li>Ability to problem-solve and make decisions in alignment with organizational policies</li><li>Ability to work independently while maintaining accountability</li><li>Understanding of community-based organizations and healthcare services</li><li>Ability to engage respectfully with individuals from diverse cultural, ethnic, religious, and economic backgrounds</li></ul><h3><b><strong>Reporting Relationship</strong></b></h3><ul><li>Reports to Billing or Revenue Cycle Leadership</li></ul>

Legacy Staffing

Patient Access Specialist

Accounts Receivable

Billing

Communication Skills

Customer Support/Service

Diversity

Federal Laws and Regulations

Follow Through

HIPAA (Health Insurance Portability and Accountability Act)

Health Plan

High School Diploma

Identify Issues

Interpersonal Skills

Leadership

Maintain Compliance

Medical Record System

Patient Care

Patient Confidentiality

Primary Care

Quality Assurance

Quality Management

Quality of Care

Regulations

State Laws and Regulations

Third-Party Payer

Writing Skills

Manatal

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Medical Claims Processor Jobs in USA, CA, Bakersfield | Rose International JobRose International

Patient Access SpecialistLegacy Staffing

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