<p>A leading hospital in the San Fernando Valley is seeking a dedicated Hospital Medical Billing Collections Specialist to join its team. In this role, you will oversee all aspects of the hospital's billing and collections processes, ensuring timely and accurate reimbursement. You will be responsible for managing billing activities and collections for Medicare managed care, commercial insurance, PPO/HMO, and Medi-Cal managed care accounts. This position requires strong attention to detail, a deep understanding of healthcare billing guidelines, and the ability to work collaboratively with internal departments and insurance payers to resolve outstanding claims.</p><p><br></p><p>Responsibilities:</p><p>• Conduct hospital billing and collection processes with accuracy and efficiency</p><p>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care</p><p>• Provide training for Collector I positions</p><p>• Appeals and denials management.</p><p>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role</p><p>• Oversee the management of insurance correspondence and maintain accurate records</p><p>• Monitor patient accounts and take appropriate action to collect insurance payments.</p>
<p>Join our team as a Medical Collector I and play a crucial role in our revenue cycle operations. The Medical Collector will be the go-to specialist for managing outstanding insurance claims, navigating denials, and ensuring timely and accurate reimbursements. This is a dedicated collections role requiring persistence, attention to detail, and excellent communication as you collaborate with a talented healthcare billing team onsite.</p><p><strong>Key Responsibilities</strong></p><ul><li>Proactively follow up on outstanding insurance claims to secure accurate and prompt payment.</li><li>Investigate denials, prepare and submit persuasive appeals.</li><li>Research and resolve claim rejections and billing discrepancies.</li><li>Manage collections activity for various payer types, including:</li><li>Medicare</li><li>PPO</li><li>HMO</li><li>Workers’ Compensation</li><li>Lien cases</li><li>Review aging reports to identify, prioritize, and follow up on aged accounts.</li><li>Accurately document all collection activities and follow-ups in the billing system.</li><li>Communicate professionally with insurance representatives to resolve payment issues.</li><li>Field inbound patient calls regarding statements and billing inquiries, providing clear and courteous support.</li><li>Partner with internal billing and coding teams to resolve complex claim matters.</li><li>Consistently meet or exceed established productivity and quality standards.</li></ul><p><br></p>
<p>A Medical Center in Los Angeles is looking for a dedicated Surgery Medical Biller/Collections Specialist. This Surgery Medical Biller/Collections Specialist involves managing claim submissions, addressing denials, and ensuring the accuracy of billing processes to optimize reimbursement. The ideal candidate will bring expertise in medical billing, collections, denial management, and appeals, as well as familiarity with Epic billing workflows. </p><p><br></p><p>Responsibilities:</p><p>• Address and correct front-end edits and clearinghouse errors to facilitate clean claim processing.</p><p>• AR Insurance follow up via phone and online web portals. </p><p>• Submit electronic claims in compliance with specific payer guidelines and requirements.</p><p>• Manage timely corrections, rebills, and resubmissions of claims to resolve outstanding issues.</p><p>• Handle claim attachments and supporting documentation to meet payer requirements.</p><p>• Investigate and resolve denials by preparing appeals with appropriate clinical, coding, and billing documentation.</p><p>• Coordinate outreach to payers for unresolved or aged claims and follow up on outstanding accounts.</p><p>• Collaborate with patient access and coding teams to address discrepancies and ensure billing accuracy.</p><p>• Monitor payer trends, escalate systemic issues, and recommend improvements to prevent recurring denials.</p><p>• Verify patient information, including demographics, insurance coverage, and authorization details, to ensure claims are accurate before submission.</p><p>• Assist leadership with high-dollar or time-sensitive accounts to ensure timely resolution.</p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
<p>A Healthcare Company is seeking a Medical Insurance Verification Specialist to join its team. The Medical Insurance Verification Specialist will help ensure timely and accurate verification of patient insurance coverage for our healthcare facility. We’re seeking Medical Insurance Verification Specialist with at least 2 years of relevant medical insurance verification experience. Bilingual Spanish skills are a plus. Familiarity with HMO, PPO, and government insurance plans is required; surgical scheduling or support is highly valued.</p><p>Responsibilities:</p><ul><li>Verify patient eligibility, coverage, and benefits for HMO, PPO, and government insurance plans</li><li>Communicate with insurance providers and patients to resolve coverage questions and discrepancies</li><li>Document all verification activities and update patient records accurately</li><li>Collaborate with clinical and administrative staff to ensure appropriate coverage for planned procedures, including surgery</li><li>Assist patients in understanding their insurance benefits and any out-of-pocket costs</li></ul><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement. </p>
<p>We are looking for a detail-oriented Billing Specialist to join our team for a contract position based in Century City, California. In this role, you will utilize your technical expertise and proficiency in Microsoft Excel to support various accounting projects and tasks. This is an excellent opportunity for someone eager to contribute to a dynamic environment while enhancing their skills in data management and financial processes.</p><p><br></p><p>Responsibilities:</p><p>• Support the preparation and organization of timekeeping data for system uploads.</p><p>• Assist in special projects involving spreadsheet creation and data analysis.</p><p>• Verify and reconcile staff information to ensure accuracy in reports.</p><p>• Generate automation reports and compile financial data for review.</p><p>• Manage accounts payable and accounts receivable tasks efficiently.</p><p>• Process invoices and ensure timely data entry into accounting systems.</p><p>• Perform bank account reconciliations to maintain accurate financial records.</p><p>• Utilize Microsoft Excel to create and maintain detailed spreadsheets.</p><p>• Collaborate with team members to resolve discrepancies and improve workflow efficiency</p><p><br></p><p>This is a fully on-site role in Century City, hours are flexible, this is a contract position with potential to go contract-to-hire, pay is based on experienced between $25-$28 an hour.</p>
<p>Are you motivated, with attention to detail? This growing company is hiring a Medical Billing Specialist with strong behavioral health skills. The Medical Billing Specialist will be tasked with submitting claims to insurance companies for services rendered. The Medical Billing Specialist must be well versed with HMO, PPO and Government insurance. The right person for this role must have at least 3 years of medical billing and insurance collections experience. .</p><p> </p><p>Your responsibilities in this role</p><p> - EOB review and claims submission </p><p>- Send notices to insurance companies and patients for request for payment</p><p>- Manage elements of specific patient accounts, such as billing and reimbursement</p><p>- Coordinate with numerous working teams to guarantee quality of data and uniformity</p><p>- Behavioral Health or DMH is a big plus but not a must </p>
<p>We are currently seeking an experienced <strong>Workers Compensation Lost Time Senior Claim Examiner</strong> to join our team in the Los Angeles, CA area. As a <strong>Workers Compensation Lost Time Senior Claim Examiner</strong>, you will handle a caseload of lost time workers compensation claims originating primarily from California. This <strong>Workers Compensation Lost Time Senior Claim Examiner</strong> role is an on-site position located in Los Angeles and focuses on delivering high-quality claims service in a fast-paced, customer-driven environment.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Manage all aspects of lost time workers compensation claims from initiation through closure.</li><li>Conduct three-part investigations, including statements from insureds, claimants, and medical providers.</li><li>Determine claim compensability based on investigation outcomes.</li><li>Administer statutory medical and indemnity benefits timely and accurately.</li><li>Communicate denials and updates to insureds, claimants, attorneys, and involved parties.</li><li>Set and adjust reserves within authority, escalating when necessary.</li><li>Collaborate with legal counsel on hearings and litigation matters.</li><li>Direct vendors and medical case managers on return-to-work strategies.</li><li>Comply with all state and regulatory reporting requirements.</li><li>Refer appropriate claims for subrogation and maximize recovery efforts.</li><li>Partner with internal teams (nurses, investigators, case managers) for optimal claim outcomes.</li><li>Prepare clear, professional documentation and reports.</li></ul><p><br></p>
<p>A Behavioral Health Company in Long Beach is in the need of a Lead Medical Billing Operations Coordinator. The Lead Medical Billing Operations Coordinator will oversee the daily operations of the billing department and ensure compliance with mental health contract requirements. The Lead Medical Billing Operations Coordinator must have behavioral health experience. </p><p><br></p><p>Responsibilities:</p><p>• Supervise and provide daily guidance to billing staff, ensuring adherence to established procedures.</p><p>• Conduct training, coaching, and performance evaluations for team members, supporting their growth and attention to detail.</p><p>• Review billing documentation and workflows to ensure accuracy and compliance with established protocols.</p><p>• Address claim denials by analyzing monthly revenue reports and implementing corrective measures.</p><p>• Collaborate with Quality Assurance staff to update administrative sections of client files as needed.</p><p>• Process electronic billing efficiently, ensuring clean and accurate claims using available technology.</p><p>• Reconcile billing reports for the Department of Mental Health and Behavioral Health Services, ensuring compliance with agency standards.</p><p>• Partner with the Billing Director to implement new procedures and provide operational feedback.</p><p>• Organize and facilitate departmental meetings and training sessions to improve team performance.</p><p>• Attend required meetings and training sessions to stay updated on internal and external systems relevant to billing operations.</p>
