Workers' Compensation Specialist 26-00225 Alura Workforce SolutionsWorkers' Compensation Specialist 26-00225Simi Valley, CA$26–$30 / hourDESCRIPTION Our client reviews medical bills tied to insurance claims, mainly workers' compensation and liability cases, making sure the charges are accurate and fair. They also help resolve billing disputes and catch questionable billing activity before it becomes a bigger problem.
Workers' Compensation Specialist I & II Alura Workforce SolutionsWorkers' Compensation Specialist I & IISimi Valley, CA$26–$30 / hourOur client reviews medical bills tied to insurance claims, mainly workers' compensation and liability cases, making sure the charges are accurate and fair. They also help resolve billing disputes and catch questionable billing activity before it becomes a bigger problem.
Revenue Cycle Specialist III (Gastroenterology) Cedars-Sinai Medical CenterRevenue Cycle Specialist III (Gastroenterology)Los Angeles, CAPrimary duties include: Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include identifying, analyzing, resolving, and responding to our client's inquiries, concerns, and issues, and following up on accounts to ensure resolution. The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections.
Accounts Receivable Manager Los Angeles Jewish HealthAccounts Receivable ManagerReseda, California$115,000–$120,000In-depth knowledge of SNF medical insurance billing and follow-up procedures, including HMO, PPO, Medicare, Medi-Cal, Medi-Cal Managed Care, and indemnity plans. Los Angeles Jewish Health has been a trusted provider of senior healthcare for over 100 years, offering a wide range of services that prioritize excellence and Jewish values.
Experienced Medical Biller Renew Vein and VascularExperienced Medical BillerLos Angeles, CAFull timeResponsibilities include claim submission, payment posting, denial resolution, and working closely with providers and staff to maintain efficient revenue cycle operations. The ideal candidate will have a strong background in medical billing, coding, and insurance claim management, with a proven ability to ensure timely and accurate reimbursement.
Insurance Specialist I - REMOTE Community Health Systems IncInsurance Specialist I - REMOTECARemoteWith healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers. The Sarasota SSC operates in support of our hospitals and patients and our commitment is to provide them with exemplary revenue cycle services defined by outstanding customer service and superior revenue cycle performance.
Advanced Therapies Benefits Specialist (Financial Clearance) Shields Advanced TherapiesAdvanced Therapies Benefits Specialist (Financial Clearance)Los Angeles, CAFull timeCredentials & RequirementsIdeal candidate will have 5+ years of experience in healthcare billing, insurance coordination, or patient financial counsellingFamiliarity with healthcare financial systems and the insurance verification process requiredStrong communication and interpersonal skills are crucial for effectively assisting patientsAttention to detail, organizational abilities, and proficiency with healthcare information systems are also importantPrior experience/familiarity with payer navigation specifically related to cellular therapy (CAR T, TIL, etc.), gene therapy, and/or bone marrow transplant patient journeys and applicable prior authorizations required to enable is preferredPrior exposure with both inpatient & outpatient site-of-care also preferred but not required CompensationCompetitive base salary with bonus opportunity tied to outcomes metrics, with comprehensive benefits coverage also offered. Core Responsibilities Benefits Investigation & VerificationWork with all payers (Government, Commercial, and otherwise, including out-of-state Medicaid agencies), pharmacy benefit managers (PBMs), and third-party administrators (TPAs) to identify, investigate and verify patient insurance coverage and benefits as early as possible within the care journey to ensure timely access to care, accurate billing, and minimal claim denials.
Authorization Specialist Aveanna Healthcare Holdings IncAuthorization SpecialistSeal Beach, CA$22–$24 / hourAs an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. The Authorization Specialist facilitates the coordination between healthcare providers, clinical teams, and insurance carriers to ensure that necessary approvals are obtained, and payment processes are streamlined.
Coding Specialist EMS Management and Consultants IncCoding SpecialistCA$15–$20 / hourProvide proactive and routine feedback to Revenue Cycle Manager regarding any deficiencies, variances, and/or other issues identified during the billing process, including variances with incoming inventory. Exhibit strong customer service skills to build and maintain internal relationships in order to best address client needs.
Copy of Medical Biller SYDIERA Healthcare StaffingCopy of Medical BillerLos Angeles, CaliforniaRemoteQualified candidates without prior medical billing experience may be considered for additional training and development opportunities designed to help them build the skills needed for success in the field. This opportunity is open to both experienced medical billing professionals and individuals looking to enter the field and develop new skills.
APC Coding Validation Specialist MachinifyAPC Coding Validation SpecialistCA$85,000–$100,000 / yearDemonstrate a strong working knowledge of outpatient reimbursement methodologies, including Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classification (APC), and Enhanced Ambulatory Patient Grouping (EAPG). Apply coding guidelines across a broad range of outpatient services, including but not limited to Interventional Radiology, Radiation Oncology, injections and infusions, outpatient surgeries, implants, and observation services (including carve-outs).
Front Loader - Biller Clínica Monseñor Oscar A. RomeroFront Loader - BillerLos Angeles, CAPrevious experience in medical billing or Medical Front office running eligibilities for all payers, Medi-Cal, Medicare, commercial plans. Position Summary: The Front-Loading Specialist is responsible for ensuring efficient and accurate loading of patient registration information into the Electronic Health Record (EMR) system prior to the patient's scheduled appointment.
Front Loader - Biller Clinica Monsenor Oscar A RomeroFront Loader - BillerLos Angeles, CAPrevious experience in medical billing or Medical Front office running eligibilities for all payers, Medi-Cal, Medicare, commercial plans. Position Summary: The Front-Loading Specialist is responsible for ensuring efficient and accurate loading of patient registration information into the Electronic Health Record (EMR) system prior to the patient's scheduled appointment.
NewClaims Specialist I Blue Cross and Blue Shield AssociationClaims Specialist ILos Angeles, CANecessary Contacts: In order to effectively fulfill this position, the Claims Specialist I must be in contact with personnel in other Units: Various internal departments and staff including, but not limited to, Provider Services, Legal, Internal Audit, IT, other Benefits Operations Management and staff, Enrollment and Billing, Administrative Services, and District Offices. Reviews, researches, and makes necessary updates to claims that may include the following: recalculation of benefits to previously processed claims, the processing of claims edits, or initiation of refund requests, according to contractual benefits or provider reimbursement rules, ultimately providing a high degree of customer satisfaction.
Senior Professional Fee Medical Coder UCSF Medical CenterSenior Professional Fee Medical CoderCACertified Professional Coder (CPC), Certified Coding Specialist-Physician Based (CCS-P), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management. Stay current on upcoming coding audits, regulations, trends, OIG initiatives, and applicable carrier initiatives as they pertain to the subspecialties led by the coder to provide pertinent information and tools to the team, minimize risk, and enhance education efforts.
Risk Adjustment Coding Specialist II Astrana Health, Inc.Risk Adjustment Coding Specialist IIMonterey 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.
Insurance AR Specialist OneOncology IncInsurance AR SpecialistCARemoteWe are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve. OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases.
Senior Payment Accuracy Specialist Cotiviti Holdings Inc. (Inactive)Senior Payment Accuracy SpecialistCA$37.75–$40.25 / hourThe Senior Specialist position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects and evaluating the effectiveness of audit concepts. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Senior Payment Accuracy Specialist.
NewSpecialist, Customer Service Wound Care Cardinal Health IncSpecialist, Customer Service Wound CareCA$20.02–$25.78 / hourYou will be responsible for building strong customer relationships with our customers (doctors, wound care clinics, and patients), placing and following up on wound care supply orders for patients, and being involved in all aspects of our wound care program. Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research, and problem/dispute resolution.
Medical Records Universal Community Health CenterMedical RecordsLos Angeles, CAReporting to the Director of Operations, the coordinator will be responsible for accessing third-party portals, managing medical records email correspondence, updating electronic medical record (EMR) systems, scheduling appointments, coordinating pre-op clearances, and facilitating communication between patients, providers, and specialists. The Medical Records Care Coordinator plays a crucial role in ensuring the efficient management and accessibility of medical records essential for patient care and administrative processes.