Healthcare Revenue Cycle Billing Specialist II (SNF) Wipfli LLPHealthcare Revenue Cycle Billing Specialist II (SNF)Irvine, CARemote$23–$30 / hourAs a Specialist II in Wipfli's Healthcare Consulting Practice, you'll work independently with a variety of healthcare clients, skilled nursing facilities, independent living, and assited living, delivering services such as financial and operational analysis, regulatory readiness, and strategic support. Under the direction of a Senior Consultant, the Specialist II provides business services independently for the firm''s more complex clients, ensuring delivery is timely, accurate and serves the client''s needs in accordance with company policies and procedures.
Medical Biller ObjectWin Technology IncMedical BillerCASpecific Skills Needed: Medical Billing, cash application and collection (collection is not calling demanding payment; it''s researching why a claim didn''t get paid and taking steps necessary to correct the info). Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.
Medical Biller Ultimate Staffing ServicesMedical BillerLaguna Hills, California$25–$28 / hourThis is a temporary assignment, ideal for someone with a strong background in healthcare administration who can bring professionalism, organization, and empathy for a seamless transition process. Ultimate Staffing is seeking an experienced Medical Biller to support the closure of a medical practice in Laguna Hills, CA.
Medical Assistant/ Medical Home Coordinator TriHealth IncMedical Assistant/ Medical Home CoordinatorCAUnderstands adult and/or pediatric preventive medicine schedules, including wellness visits, vitals, labs, immunizations, screening tools, and patient education; identifies and communicates care gaps, utilization, and chronic disease needs. Provides accurate and complete documentation of rooming information, clinical calls, orders, pending prescriptions, pharmacy updates, and workflow tasks; addresses phone and MyChart messages promptly and escalates issues as needed.
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 patients 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, trainings, and other work-related events as needed; and. Clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by a physician.
NewMedical Accounts Receivable Representative (Level Two) California Medical Business ServicesMedical Accounts Receivable Representative (Level Two)Arcadia, CaliforniaPhysical: Primary functions require sufficient physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, carry, push, and/or pull light to moderate amounts of weight; to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer keyboard; to travel to other locations using various modes of private and commercial transportation; and to verbally communicate to exchange information. Huntington-Hill Imaging Center (managed by California Medical Business Services, LLC) is dedicated to improving medical practices through the use of innovative technologies, strategic partnerships, and years of industry experience.
Medical Collections Specialist Marquee StaffingMedical Collections SpecialistNewport Beach, CAWe are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered. Duties: Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
Senior Analyst, Medical Economics - REMOTE Molina Healthcare IncSenior Analyst, Medical Economics - REMOTELong Beach, CARemoteDemonstrated 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. Provides support and ownership for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities and improve financial performance.
Manager, Medical Economics - REMOTE Molina Healthcare IncManager, Medical Economics - REMOTELong Beach, CARemoteDemonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), Ambulatory Patient Groups (APGs), Ambulatory Payment Classifications (APCs), and other payment mechanisms. Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.).
Senior Medical Assistant- Santa Ana CA UnitedHealth Group IncSenior Medical Assistant- Santa Ana CASanta Ana, CAAdministrative Duties Responsible for routine and basic front and back-office duties to include answering phones scheduling and confirming appointments preparing schedules data entry including referral contracts post appointment information prefill document retrieval filing performing data entry and assisting in the examination process of patients under the direction of a physician or other licensed provider. Direct individual patient care activities and coordination including interviewing patients measuring vital signs and records information on patients charts drawing and collecting blood samples from patients preparing specimens for laboratory analysis complete lab requisitions and conducting a variety of diagnostic tests.
Optometric Technician (Pre-Testing and Front Office) Santa Fe Springs OptometryOptometric Technician (Pre-Testing and Front Office)Santa Fe Springs, CAFull timeWork-up patients prior to seeing doctor Includes autorefraction, lensometry, retinal photos (Optos), intraocualar pressure assessment (using iCare), visual acuities, case history, medical history and recording all above tests in patient's electronic medical record (average 10 patients per day). When not working directly with patients, your role will be to assist the front office with answering phones and emails to communicate with our patients, as well as assist with medical billing and processing orders for glasses and contact lenses.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis 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.
Medical Assistant - Women''s Center TriHealth IncMedical Assistant - Women''s CenterCAProvides accurate/complete documentation of clinical calls and patient rooming info as well as order entry, pending prescriptions, noting current pharmacy, and enter edit workflows to result orders. Job Overview: This position provides both direct patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up.
Dental and Ortho Insurance Biller Treatment Coordinator Downey Smile CenterDental and Ortho Insurance Biller Treatment CoordinatorDowney, CAFull timeThe Dental Office Biller manages patient accounts, processes insurance claims, and ensures efficient billing operations within a dental practice. This role requires a detail-oriented individual with a strong understanding of dental billing procedures and a commitment to providing exceptional patient care.
Medical Records Coordinator Wu PediatricsMedical Records CoordinatorTemple City, CARemoteFull timeWu Pediatrics is a trusted pediatric practice serving the Temple City, CA community with a commitment to providing compassionate, high-quality healthcare for children of all ages. In this essential role, you'll be the backbone of our patient information management, ensuring accurate and timely records that support the exceptional care our young patients deserve.
Medical Claims Examiner Ultimate Staffing ServicesMedical Claims ExaminerPasadena, California$26–$29 / hourWe are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.
NewMedical Receptionist - Bilingual (English/Spanish) St. Jude Neighborhood Health CentersMedical Receptionist - Bilingual (English/Spanish)Orange, CA$23–$24.51 / hourOur health centers use a team-based model of care that includes family medicine, obstetrics, women's health, oral and vision care, preventative and educational health, mental health, patient advocacy, case management, and community health. Collects required copayments, payments (cash, check, credit card), issues receipts, stamps back of checks and records MRN, makes change, etc., per established procedures.
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.
Medical Office Supervisor Argus Medical Management, LLCMedical Office SupervisorNewport Beach, CA$22–$26 / hourFull timeNewport Children's Medical Group provides expert, compassionate pediatric care for children of all ages, from newborns to adolescents, at its locations in Newport Beach, Irvine, Costa Mesa, and Laguna Beach. Job Type: Full-Time, Direct HireHours: Mon-Fri, 8-hour shiftsPay: $22-26 per hourPosition Summary:To ensure all aspects of the medical office are managed effectively to comply with physician/company policies and procedure and state/federal regulations.
Audit and Appeals Recovery Specialist Medicaid/Medicare ICONMA, LLCAudit and Appeals Recovery Specialist Medicaid/MedicareCosta Mesa, CA$25.21–$28.22 / hourAs 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.