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AHMC Healthcare logo

Commercial Insurance Specialist AHMC Healthcare

Commercial Insurance Specialist
Riverside, California

Overview: Performs various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria. Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.

30+ days ago
Kinetic Personnel Group, Inc. logo

Medical Claims Resolution Specialist Kinetic Personnel Group, Inc.

Medical Claims Resolution Specialist
Orange, CA
  • $25–$31 / hour

A full time permanent position includes a pay raise, telecommute options, a CalPERS Pension and excellent government benefits including generous holiday, PTO and sick pay days off, year one! Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care.

30+ days ago

Inventory Specialist II Broadata Communications

Inventory Specialist II
Torrance, CA
  • $25–$32 / hour

Working under the general supervision of the Supply Chain and Operations Managers, this position provides guidance to junior inventory staff and collaborates cross-functionally with Purchasing, Production, and Planning to ensure seamless material flow in a high-precision electronics manufacturing environment. This role goes beyond day-to-day counting and record-keeping — the Inventory Specialist II serves as a subject matter expert in inventory control, takes ownership of discrepancy resolution, and helps develop and refine inventory procedures.

9 days ago

AR Follow Up Coord RadNet Los Angeles

AR Follow Up Coord
Los Angeles, California
  • $20–$23 / hour
  • Full time

When you join us as a AR Follow Up Coordinator , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. One to two years’ prior accounts receivable experience in a medical billing environment preferred with at least general knowledge of the healthcare industry insurance/EOB/payment process.

30+ days ago

Sr. Neurology Account Specialist (Anaheim, CA) (field based) Eisai

Sr. Neurology Account Specialist (Anaheim, CA) (field based)
Anaheim, CA

Experience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems). Skills:Clinical Acumen (AD), Critical Thinking & Agility, Focus On Customers & Partners, Sales Ops & Data Analytics, Sells Effectively & Makes Impact, Territory/Account Management.

30+ days ago

Accounts Receivable Specialist JAMS, Inc.

Accounts Receivable Specialist
Irvine, California
  • Full time

Manages an assigned portfolio of client accounts using appropriate collection techniques to reduce delinquency—partners with case managers on client disputes, providing strategies and solutions to resolve issues efficiently and effectively. The Accounts Receivable Specialist partners with the case management team across multiple Resolution Centers to provide high-level service to clients and neutrals, while maintaining adherence to business policies and procedures.

16 days ago

Client Accounts Specialist 1 JAMS, Inc.

Client Accounts Specialist 1
Irvine, California
  • Full time

The Client Accounts Specialist 1 partners with the case management team in multiple Resolution Centers to support clients and neutrals with high-level service, while maintaining adherence to business policies and procedures. This role requires critical thinking to resolve collection, cash application, and billing issues with professionalism, attention to detail, and a commitment to delivering excellent client service.

15 days ago

Director of Clinical Systems, Analytics & Business Intelligence Children's Institute

Director of Clinical Systems, Analytics & Business Intelligence
Los Angeles, California
  • $117,693–$143,847 / year

The Director serves as a cross functional leader, strategic partner and primary liaison between Behavioral Health, Community Supports, Information Technology, Quality Assurance, Compliance, Finance, Human Resources, Development, and Executive Leadership driving alignment with advancing organizational priorities, strategic objectives, and evolving healthcare delivery models through the effective use of technology, analytics, automation, artificial intelligence, and operational innovation. The Director, Clinical Systems, Analytics & Business Intelligence provides strategic leadership, oversight, and administration of clinical technology systems, enterprise reporting, business intelligence, data governance, and operational analytics supporting Children’s Institute’s Behavioral Health and Community Services (BHCS) programs.

30+ days ago

Lead, Transplant Financial Coordinator - Liver Acquisition - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern California

Lead, Transplant Financial Coordinator - Liver Acquisition - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Los Angeles, California

Obtain and document detailed patient insurance benefit information, limitations and exclusions to determine appropriateness for transplantation services and financial criteria of program, including, but not limited to, all aspects of the transplant process: transplant surgery, organ acquisition, follow-up clinic visits, admissions, cost of labs, diagnostic testing, co-payments of outpatient prescription drugs and travel/housing benefits. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

30+ days ago

Transplant Financial Coordinator - Kidney Acquisition - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern California

Transplant Financial Coordinator - Kidney Acquisition - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Los Angeles, California

Obtain and document detailed patient insurance benefit information, limitations and exclusions to determine appropriateness for transplantation services and financial criteria of program, including, but not limited to, all aspects of the transplant process: transplant surgery, organ acquisition, follow-up clinic visits, admissions, cost of labs, diagnostic testing, co-payments of outpatient prescription drugs and travel/housing benefits. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

30+ days ago

Insurance Specialist (Remote) - Mountain and Pacific Time Zones Meduit

Insurance Specialist (Remote) - Mountain and Pacific Time Zones
California
Remote

both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services . You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.

30+ days ago

Advanced Therapies Benefits Specialist (Financial Clearance) Shields Advanced Therapies

Advanced Therapies Benefits Specialist (Financial Clearance)
Los Angeles, CA
  • Full time

Credentials & 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.

21 days ago

Technical Support Hardware Specialist Silvus Technologies

Technical Support Hardware Specialist
Los Angeles, California

Silvus Technologies , a leading provider of advanced MANET and MIMO communications systems, is reshaping mesh network technology for mission-critical applications – on the ground, in the air and at sea. Its battle-proven StreamCaster family of MANET radios and proprietary MN-MIMO waveform provides the vital communications link for defense, law enforcement and public safety agencies around the world, and in the toughest operational environments.

30+ days ago

Sr. EAP Operations Associate (Remote) Rula

Sr. EAP Operations Associate (Remote)
Los Angeles, California
Remote

Demonstrated expertise in revenue cycle management, with a focus on healthcare billing, payment posting, and/or credit management, including knowledge of credit management for insurance and governmental payers (Medicare or Medicaid). Proven ability to independently improve and optimize processes, leveraging tools such as Salesforce, AMD, payer portals (e.g., Availity), and Google Suite/Microsoft Office (including Excel/Google Sheets) to drive optimization.

30+ days ago

SUD Substance Abuse Intake Specialist (Marengo) Clínica Monseñor Oscar A. Romero

SUD Substance Abuse Intake Specialist (Marengo)
Los Angeles, CA

Follow up with all referral sources that include CASC, DPSS, DCFS, probation, Children's Court, Criminal court, eligibility workers, doctors, psychiatrists and others and collect necessary required paper work when needed. Position Summary: Clinica Romero's Substance Use Disorder Intake Specialist is Responsible for overseeing all aspects of client entry into outpatient services for youth, adult and prenatal services in both sites.

30+ days ago

Collector (facility/hospital) Ledgent Finance & Accounting

Collector (facility/hospital)
Corona, California
  • $23 / hour

Join a fast-paced healthcare team where you'll tackle billing challenges and keep accounts moving! Great opportunity to grow your career and land a permanent role!

30+ days ago

Dental Office Manager Empower Dental Group

Dental Office Manager
Rancho Cucamonga, California

As we scale, we're looking for a creative, resourceful, and driven staff to help us share our story, strengthen our brand, and engage our growing network of patients and team members. Founded by Dr. Gyokchyan, Dr. Arkelakyan, and Dr. Khachatryan, Empower Dental brings together experience, innovation, and compassion to deliver exceptional, patient-centered care.

30+ days ago

Hybrid Benefits Specialist Ultimate Staffing Services

Hybrid Benefits Specialist
Irvine, California
  • $45–$50 / hour

Annual Open Enrollment: Supports the annual benefits open enrollment process, including communications, system configuration, vendor coordination, and partnering closely with payroll to ensure proper benefits setup. LOA administration: Communicates the LOA process to requesting employees, initiates leaves in Sparrow, monitors LOA-related emails, and reviews and approves the semi-monthly LOA payroll report.

30+ days ago

Business Office Manager La Peer Surgery Center

Business Office Manager
Beverly Hills, CA
  • Full time

GENERAL SUMMARY OF DUTIES: The Business Office Manager (BOM) assists the Facility Director and Clinical Manager in running the Center in an efficient, cost-effective and patient-centered manner. Be able to communicate effectively with upper management, center staff, physicians and their staffs, patients, their families, marketing, insurance and sales representatives.

30+ days ago

Sr. Sourcing Specialist, Mechanical Starshield Space Exploration Technologies Corp

Sr. Sourcing Specialist, Mechanical Starshield
Hawthorne, CA
  • $85,000–$110,000 / year

BASIC QUALIFICATIONS: Bachelor's degree and 2+ years of experience working in purchasing, procurement, material planning, production planning, supply chain management, or engineering; OR 5+ years of experience working in purchasing, procurement, material planning, production planning, supply chain management in lieu of a degree. With the proven ability to iterate rapidly, SpaceX''s unique full-stack approach in developing end-to-end systems, from launch vehicles to user terminals, enables the deployment of capabilities at scale with unprecedented speed.

9 days ago
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