Medical Biller Victory Hematology And OncologyMedical BillerSherman Oaks, CaliforniaHas experience in medical billing processes including charge entry, payment posting and claim follow-up and extensive knowledge of Medicare, HMO, local IPAs, and PPO carriers. Victory Hematology and Oncology has a Medical Billing Specialist position available for a well-organized and knowledgeable Medical Billing and Coding Specialist with a Hematology and Oncology practice in Sherman Oaks, California.
Principal - Wholesale Roaming — Billing, Settlement & Standards Skylo TechnologiesPrincipal - Wholesale Roaming — Billing, Settlement & StandardsMountain View, CaliforniaRemoteOur direct-to-device service is live on millions of activated devices across five continents, covering more than 72 million square kilometers, in partnership with leading satellite operators, mobile network operators, Tier-1 chipset makers, and OEMs worldwide. Design Pricing Frameworks: Build and structure NTN wholesale pricing mechanisms—including activation, usage, and tiering constructs—mapping them directly to feasible billing methods.
Medical Biller Advantage AmbulanceMedical BillerRiverside, CAFull timeThe Biller’s primary function is to produce clean claims that can be forwarded to perspective insurance companies for the purpose of receiving optimum reimbursement for services provided by Advantage Ambulance and/or its subcontractors. Amenities…our CEO has been quoted saying “I want this place to be supportive, fun, inviting, comfortable, and stocked with snacks and refreshments…a place that everyone wants to come to each day.”.
NewMedical Biller & Revenue Cycle Manager Celebrations Speech Group Inc.Medical Biller & Revenue Cycle ManagerBrentwood, CA$71,000–$75,000 / yearFull timeCelebrations Speech Group is seeking an experienced Medical Biller & Revenue Cycle Manager to support accurate billing, timely claims submission, AR follow-up, credentialing visibility, payer compliance, and revenue cycle reporting across our clinic, home, and school-based services. In this role, you will review and submit claims, monitor accounts receivable, assist with denial resolution, track documentation and timesheet issues that impact billing, support credentialing and payer enrollment tracking, and prepare regular revenue cycle updates for leadership.
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.
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, CaliforniaRemoteThe 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.
Student Financial Services Specialist California State University Dominguez HillsStudent Financial Services SpecialistCaliforniaMust be able to apply accounting procedures and practices to the analysis of complex accounting problems; analyze and interpret accounting data; apply problem solving techniques in finding solutions to complex accounting problems; understand and apply applicable rules, regulations, policies, and procedures; review documents and data for accuracy and completeness; post figures rapidly and accurately; trace and make correcting entries; prepare statements and reports which require utilization of a variety of sources; post information to journals, registers, and ledgers; assemble and compile data used in the preparation of financial reports and/or analysis; balance and reconcile assigned accounts; prepare trial balances; and enter codes and data into the computer and review computer output for accuracy; use current computer word processing and spreadsheet software programs (including Word, Excel and Outlook), web browsers, integrated financial systems and/or other types of records management systems, including student accounting, and student financial aid. The primary function of this position includes processing refunds, identifying returned ACH and check items, undelivered and stale-dated student checks, assisting students with interpreting their accounts in person, via email, or by phone, and reconciling and verifying student payments.
Sales Operations Specialist, Quote-to-Cash (Mid-Market SaaS) Pride GlobalSales Operations Specialist, Quote-to-Cash (Mid-Market SaaS)San Francisco, CA$130–$140 / hourThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates : Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Lead Housing Operations Specialist- (Housing Operations Professional III, Range 1) - HDCS Housing, Dining and Conference Services California State UniversityLead Housing Operations Specialist- (Housing Operations Professional III, Range 1) - HDCS Housing, Dining and Conference ServicesSan Francisco, CA$60,948–$75,780 / yearThe Lead Housing Operations Specialist collaborates extensively with campus departments, residents, leadership, and external partners to ensure seamless housing operations, support strategic departmental initiatives, coordinate emergency response activities, and promote operational excellence. The position serves as the operational lead for the Employee & Family Housing licensing function, providing advanced program administration, operational leadership, strategic planning, and lead work direction to support housing operations, occupancy management, resident services, regulatory compliance, and continuous process improvement.
Government Audit Recovery Specialist IMCS Group IncGovernment Audit Recovery SpecialistCosta Mesa, CAAs 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. As 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.
Risk Adjustment Coding Specialist II - Los Angeles Astrana Health, Inc.Risk Adjustment Coding Specialist II - Los AngelesMonterey Park, California$75,000–$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.
Risk Adjustment Coding Specialist Greater Good HealthRisk Adjustment Coding SpecialistEl Segundo, CAThis role will work closely with leaders across Revenue Cycle, Clinical Operations & Clinical Performance to drive compliant, accurate, and optimized coding - resolving documentation and coding queries, closing retrospective review backlogs against CMS filing deadlines, and identifying opportunities to improve risk capture while reducing audit risk. The ideal candidate brings deep expertise in Medicare risk adjustment, a strong understanding of outpatient clinical documentation, and the ability to translate complex coding requirements into practical guidance for clinical and revenue teams.
EOB/Payment Analyst - Patient Accounting Desert Valley HospitalEOB/Payment Analyst - Patient AccountingVictorville, California$23–$26.25 / hourFull timeThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Desert Valley Hospital, along with Desert Valley Medical Group, offers key services to the community including heart care, emergency services, labor and delivery, surgical services and more.
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, CARemote$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.
Field Marketing Specialist El Pollo Loco Holdings IncField Marketing SpecialistCosta Mesa, CAThis role owns key field marketing programs end-to-end including strategy, execution, and continuous improvement and provides critical leadership to ensure field marketing plans are delivered effectively and consistently across corporate and franchise restaurants. Make day-to-day decisions on program structure, partnership requests, and franchisee participation, exercising independent judgment on program matters and escalating only major strategic shifts to the Field Marketing Manager.
Cost Avoidance Specialist I Partnership HealthPlan of CaliforniaCost Avoidance Specialist IFairfield, California$80,140.53–$100,175.67 / yearFull timeResponsibilities: Assess, implement, and monitor activities related to recoveries and cost savings of medical claims with duties including but not limited to: Perform assessments and identify potential overpayments on claims related to all lines of business; Research and identify overpayments related to over utilization of procedures, billing procedures, potential fraudulent claims, duplicate payments, and overpayments due to lack of coordination of benefits with member's primary health care insurance policy such as a private health insurance, Medicare coverage, or an open case with CCS; Perform recovery activities associated with claim audit findings; Report dollar amounts identified for recovery, recovery amounts received, and reasons for overpayments; Responsible for identifying via reports, Medi-Cal overpayments due to retro-active Medicare or Third Party coverage and the recoupment of same. Researches and validates all provider refund checks received with duties including but not limited to: Identifies if refund check received is due to Partnership, reason for the refund; Identifies configuration or training issues related to the payment received; Recommends appropriate actions, statistical or regular adjustment, completes adjustments and reports outcome to Cost Avoidance Supervisor.
Hospital Business Office Specialist - Temporary - Full Time Kern MedicalHospital Business Office Specialist - Temporary - Full TimeBakersfield, CaliforniaAbility to : Communicate effectively both orally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines pertaining to billing, reimbursement, contracts, and other fiscal activities; obtain information from a variety of sources, including patients and families; use computers and various software to accomplish work; perform various adjustments to accounts; establish and maintain effective working relationships with patients, families, third-party payers and guarantors, and other internal and external customers. Knowledge of : Hospital (UB04) and professional billing (CMS1500) claim practices and procedures; state and federal government funding programs such as Medicare, Medi-Cal, California Children's Services, TRICARE/CHAMPUS, and Workers' Compensation; commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; medical, insurance, and coding terminology; HIPAA privacy and compliance practices.
Business Professional - Senior Order To Cash Specialist LancesoftBusiness Professional - Senior Order To Cash SpecialistSanta Clara, CA$30Take an active role in identifying and resolving any issues from order to cash including proactively addressing any potential order/quote issues and billing discrepancies. When you’re part of the team, you’ll do important work, like helping customers in finding cures for cancer, protecting the environment or making sure our food is safe and you’ll be valued and recognized for your performance.
Dental Biller A-Team Dental StaffingDental BillerSan Andreas, CaliforniaYou should also be able to liaise with insurance providers to elucidate patients' coverage and to resolve disputes about rejected claims. An outstanding dental biller will demonstrate the ability to remain composed during stressful situations.