<p>A Hospital system in Los Angeles is looking for an experienced Revenue Cycle Coding Manager. The Revenue Cycle Coding Manager will lead coding and charge capture performance, guide operational oversight, and partner with clinical and compliance stakeholders to strengthen accuracy, productivity, and reimbursement outcomes. The ideal Revenue Cycle Coding Manager candidate must bring deep knowledge of revenue cycle operations, medical coding standards, and team leadership within a fast-paced healthcare environment. This is a hybrid remote role Monday - Friday with equipment provided. </p><p><br></p><p>Responsibilities:</p><p>• Direct daily coding operations by assigning work, reviewing team output, and ensuring tasks are completed accurately, efficiently, and in alignment with established procedures.</p><p>• Analyze weekly and monthly performance results using key operational and quality indicators, then present trends and improvement opportunities to senior leadership.</p><p>• Supervise coding work queues and charge capture activity to confirm diagnosis, procedure, and billing details are properly documented and coded.</p><p>• Ensure urgent coding requests are prioritized and completed within required turnaround expectations.</p><p>• Partner with physicians, surgeons, and clinical leadership to address coding questions, resolve workflow issues, and escalate concerns when broader intervention is needed.</p><p>• Coordinate with compliance and coding leadership to support audits, communicate findings, implement corrective actions, and reinforce timely staff education.</p><p>• Lead team meetings, provide coaching on complex coding scenarios, and promote consistent adherence to departmental policies and quality standards.</p><p>• Oversee updates to charge documents, procedure listings, and code requests while supporting coding system conversions and related operational changes when required.</p><p>• Monitor regulatory updates, payer guidance, and industry developments, and communicate relevant coding changes to internal stakeholders.</p><p>• Conduct quality reviews, operational studies, and other assigned analyses to improve coding accuracy, team performance, and revenue cycle effectiveness.</p>
<p>A healthcare company is looking for an experienced and dependable <strong>Medical Front Desk</strong> to support a busy healthcare office in California. This <strong>Medical Receptionist </strong>opportunity is ideal for someone who enjoys creating a positive patient experience while keeping daily front-office operations organized and efficient. The Medical Front Desk will serve as an important point of contact for patients, helping coordinate appointments, maintain accurate records, and uphold a high standard of confidentiality and service.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Welcome patients in a courteous and attentive manner, creating a positive first impression at the front desk.</p><p>• Coordinate new and returning patient visits by arranging, confirming, and adjusting appointments through the office scheduling system.</p><p>• Respond to inbound calls and patient inquiries with clear, helpful communication regarding office procedures and next steps.</p><p>• Review intake documents and insurance details for completeness and accuracy while handling sensitive information in accordance with privacy standards.</p><p>• Update patient records and enter information into office systems to support accurate documentation and regulatory compliance.</p><p>• Contact patients and prospective clients to follow up on inquiries and assist with securing future appointments.</p><p>• Work closely with staff and providers to ensure follow-up visits are scheduled appropriately and aligned with office availability.</p><p>• Provide day-to-day administrative assistance to office leadership and clinical team members as operational needs arise.</p><p><br></p><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off. </p>
We are looking for an organized and dependable Office Manager to support daily business operations. This position is ideal for someone who can balance administrative coordination, financial tasks, and front-office support while maintaining a positive experience for customers and staff. The role will also include a structured knowledge transfer period to ensure a smooth handoff of responsibilities over the first few months.<br><br>Responsibilities:<br>• Oversee day-to-day office activities to keep administrative functions running efficiently and accurately.<br>• Process payroll for a small team of five employees on a bi-monthly schedule while maintaining careful attention to detail.<br>• Prepare customer invoices, track billing activity, and follow up as needed to support timely payments.<br>• Handle daily bank deposits and maintain organized financial records for routine transactions.<br>• Provide front-desk and customer service support by answering inquiries and assisting visitors in a helpful and attentive manner.<br>• Monitor office inventory, order needed supplies, and ensure workspaces remain stocked for daily operations.<br>• Support accounts payable tasks, including reviewing and organizing vendor payments and related documentation.<br>• Participate in cross-training and knowledge-sharing activities during the transition period to ensure continuity in office operations.
We are looking for an organized Office Manager to support daily administrative operations in California. This contract position with potential for a long-term opportunity is ideal for someone who can keep the office running efficiently while providing front-desk support and coordinating essential business services. The role includes managing supplies, assisting with accounts payable activities, and handling HR-related administrative tasks in a detail-focused office environment.<br><br>Responsibilities:<br>• Oversee day-to-day office administration to ensure an efficient and well-organized workplace<br>• Coordinate the purchasing of office materials and replenish inventory before shortages affect operations<br>• Track and maintain supply levels, vendor orders, and general office resource availability<br>• Support accounts payable processes by organizing invoices, preparing documentation, and assisting with payment workflows<br>• Greet visitors, answer incoming calls, and serve as the first point of contact for the office<br>• Provide administrative support for HR activities such as record maintenance, onboarding coordination, and document handling
We are looking for an experienced and proactive Office Manager to support daily operations and deliver an excellent client experience in our California office. This contract-to-permanent opportunity is ideal for someone who enjoys balancing administrative coordination with client interaction in a client-focused services setting. The right candidate will bring strong organizational skills, sound judgment, and a service-focused approach to keeping the office running efficiently.<br><br>Responsibilities:<br>• Serve as the first point of contact for clients, providing courteous assistance by phone, email, and in person.<br>• Coordinate calendars and arrange appointments for tax preparation, consultations, and new client meetings.<br>• Assemble, review, and maintain client files so records are complete and ready ahead of scheduled appointments.<br>• Track incoming correspondence, manage mail and electronic communications, and direct inquiries to the appropriate team members.<br>• Update client information within office systems and help ensure records remain accurate and current.<br>• Guide new clients through the intake process, collecting required documentation and supporting a seamless onboarding experience.<br>• Provide administrative support to tax professionals through document preparation, task coordination, and workflow follow-up.<br>• Oversee office supply levels, place vendor orders, and help maintain a clean, organized, and functional workspace.<br>• Identify process improvement opportunities that strengthen operational efficiency and enhance client service while safeguarding sensitive information.
<p>We currently have excellent ongoing opportunities for highly skilled and motivated Office Managers to lead operations at a growing company. Are you a deeply passionate self-starter who is looking to grow their career? Then we have a position for you. Please email your resume and call 626.463.2031 for immediate consideration.</p><p>How you will make an impact</p><p>· Leading overall office administration</p><p>· Handling copy services, word processing, mail and distribution services, office reception, office equipment, utility services and communication systems</p><p>· Evaluating and improving office production</p><p>· Assisting in developing and revising office policies and procedure for improved work flow</p><p>· Assisting the Operations Manager and Director in monitoring budget for office related items and staff</p><p><br></p>
We are looking for a Leave of Absence Administrator to support a high-quality employee leave experience in Irvine, California. This Long-term Contract position will oversee leave administration from intake through return-to-work coordination while ensuring consistent compliance with applicable regulations and internal policies. The ideal candidate brings sound judgment, strong organization, and a compassionate communication style when assisting employees and partnering with cross-functional teams.<br><br>Responsibilities:<br>• Oversee the full lifecycle of employee leave cases, including eligibility review, documentation tracking, approvals, status updates, and return-to-work coordination.<br>• Administer a range of leave programs such as statutory leaves, disability-related absences, parental time off, and personal leave in accordance with company policy and legal requirements.<br>• Work closely with human resources, payroll, and benefits partners to ensure pay handling, benefit continuation, and employee status changes are processed accurately.<br>• Maintain complete and audit-ready records for each case, ensuring documentation is current, confidential, and aligned with federal, state, and local leave regulations.<br>• Guide employees and managers through the leave process with clear, timely, and empathetic communication from initial request through reintegration planning.<br>• Monitor deadlines, certifications, and case milestones to support timely decisions and a smooth employee experience.<br>• Review leave practices regularly and recommend practical improvements that increase efficiency, consistency, and service quality.<br>• Support leave-related process updates and operational changes as needed, including coordination tied to evolving workflows or systems.
<p>A Hospital in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The Medical Coder role will focuses on accurate coding for surgical and related outpatient services, helping ensure clean claims, reliable reimbursement, and strong compliance with payer and regulatory standards. The person in the Medical Coder role will work closely with revenue cycle partners, clinical teams, and leadership to resolve coding issues, improve documentation quality, and maintain consistent coding performance. This position is a remote Monday - Friday. CPC or CCS licence is a MUST for consideration. This role is remote Monday - Friday with equipment provided.</p><p><br></p><p>Responsibilities:</p><p>• <u>Orthopedic Surgical Coding, Surgical Abstracting, and MediCal & CCS coding and billing guidelines (Top Requirements) </u></p><p>• Examine surgical charge documentation and clinical records to assign accurate diagnosis, procedure, and modifier codes for billing and reimbursement activities.</p><p>• Validate charge capture details, correct coding discrepancies, and confirm proper linkage between diagnoses and procedures before claims move forward.</p><p>• Apply ICD-10 and CPT coding standards to surgical and designated diagnostic cases, including review of complex encounters requiring careful interpretation.</p><p>• Manage daily claim and coding work queues, monitor ticket volume, and help maintain timely and accurate claim submission processes.</p><p>• Review scanned charge documents for completeness and coding accuracy, escalating unusual or high-risk issues when necessary.</p><p>• Support reporting and trend analysis by tracking coding errors, identifying recurring issues, and sharing findings with management for process improvement.</p><p>• Collaborate with revenue cycle staff, physicians, clinicians, and departmental leadership to address questions, resolve escalations, and strengthen coding quality.</p><p>• Maintain working knowledge across multiple specialties and remain current on payer rules, Medi-Cal guidance, CCS, Medicare requirements, and other compliance expectations.</p><p>• Participate in audits, department meetings, and ongoing education activities while assisting with coding records management and other assigned duties.</p><p><br></p><p>TO APPLY, ONLY send resume directly to Mike Romero at Mike [dot] Romero [at] RobertHalf [dot] [com]</p>
We are looking for an Administrative Assistant to support a fast-paced nonprofit office in Los Angeles, California. This Long-term Contract position offers a consistent on-site schedule of approximately 28 to 29 hours per week, including a 4-hour shift on Fridays, with potential to transition into a permanent opportunity. The person in this role will help keep daily operations organized while providing a welcoming presence for staff, visitors, and new team members.<br><br>Responsibilities:<br>• Provide day-to-day administrative support to ensure smooth office operations in a busy nonprofit environment.<br>• Welcome visitors and serve as a helpful first point of contact for guests and incoming inquiries.<br>• Maintain office readiness by coordinating supply orders and monitoring inventory needs.<br>• Process invoices, track unpaid balances, and assist with billing-related follow-up.<br>• Support onboarding activities by helping facilitate orientation tasks for new employees.<br>• Complete and organize property-related documents and other administrative records with accuracy.<br>• Update internal charts, staff directories, and similar reference materials to keep information current.<br>• Assist with basic technical troubleshooting for common office and user issues.
We are looking for an experienced and dependable Administrative Assistant to support daily office operations in Irvine, California. This contract opportunity is ideal for someone who enjoys creating an organized, welcoming workplace while handling a range of administrative and front desk responsibilities. The person in this role will manage sensitive information with discretion, keep office services running smoothly, and provide timely support to employees, visitors, and leadership.<br><br>Responsibilities:<br>• Welcome guests and team members professionally, manage front desk interactions, and guide visitors to the appropriate contacts.<br>• Keep the reception and lobby areas orderly, presentable, and aligned with workplace safety expectations.<br>• Administer employee and visitor badge activities, including issuance, tracking, and related record maintenance.<br>• Sort, distribute, and prepare incoming and outgoing mail to support efficient daily office communication.<br>• Monitor break areas and replenish kitchen and refreshment supplies to maintain a functional office environment.<br>• Oversee office inventory by tracking stock levels, placing supply orders, and confirming deliveries from vendors.<br>• Provide general administrative support such as document preparation, filing, scanning, copying, data entry, and record organization.<br>• Contribute to a cooperative office atmosphere by supporting team needs and assisting with additional assignments from management as needed.
<p>We are looking for an experienced and dependable Administrative Assistant to support daily office operations and provide high-quality coordination across multiple teams. This long-term contract position is covering for a maternity leave but may turn into a full-time role in Q1, 2027. We are looking for someone who is organized, resourceful, and comfortable handling a wide range of administrative tasks with professionalism and discretion. The role offers the opportunity to contribute to reporting, scheduling, office support, and team coordination in a fast-paced, in-person environment.</p><p><br></p><p><strong><u>Responsibilities:</u></strong></p><p>• Oversee day-to-day front office support, including handling incoming mail, distributing deliveries, and coordinating shipping and package receipt.</p><p>• Partner with internal teams to help organize ongoing assignments, track deliverables, and provide administrative support for project-related activities.</p><p>• Create, revise, format, and distribute reports, presentations, and other business documents with a strong focus on accuracy and consistency.</p><p>• Coordinate travel logistics when needed, including arranging itineraries and supporting related scheduling details.</p><p>• Support office hospitality by preparing meeting spaces, welcoming visitors, arranging meals, and assisting with meeting logistics.</p><p>• Prepare and submit expense documentation while maintaining organized records and timely processing.</p><p>• Assist analyst and consultant teams with recurring quarterly activities, including monitoring deadlines and helping keep client-related materials on schedule.</p><p>• Provide operational support for additional administrative tasks, including data entry, call handling, and other office coordination duties as needed.</p>
<p>Opportunities for top Administrative Assistant (Administrative Coordinator / Administrative Associate)</p><p>We currently have ongoing positions for a results-oriented Administrative Assistants who are deeply passionate about growing their career. In this role, you will perform various administrative and office support duties. Do you love mail merging, pivot tables and presentation design? Then we have a position for you. Please email your resume and call 626.463.2031 for immediate consideration. </p><p>How you will make an impact</p><ul><li>Fielding telephone calls</li><li>Receiving and directing visitors</li><li>Word processing, filing and faxing</li><li>Support on diverse projects for other employees as needed</li></ul><p><br></p><p>If you are a self-starter who is passionate about supporting a dynamic and growing company and looking to thrive in a creative environment, we would love to hear from you! Contact us now </p>
<p>Opportunities for top Administrative Assistant (Administrative Coordinator / Administrative Associate)</p><p>We currently have ongoing positions for a results-oriented Administrative Assistants who are deeply passionate about growing their career. In this role, you will perform various administrative and office support duties. Do you love mail merging, pivot tables and presentation design? Then we have a position for you. Please email your resume and call 626.463.2031 for immediate consideration.</p><p>· Answer phones and greet visitors</p><p>· Schedule appointments and maintain calendars</p><p>· Schedule and coordinate staff and other meetings</p><p>· Collate and distribute mail</p><p>· Prepare communications, such as memos, emails, invoices, reports and other correspondence</p><p>· Write and edit documents from letters to reports and instructional documents</p><p>· Create and maintain filing systems, both electronic and physical</p><p><br></p><p>If you are a self-starter who is passionate about supporting a dynamic and growing company and looking to thrive in a creative environment, we would love to hear from you! Contact us now</p>
<p>We are looking for an Administrative Assistant to support property management and leasing operations in Long Beach, California. This contract opportunity with permanent potential is ideal for someone who is highly organized, comfortable in a busy housing environment, and confident managing administrative details with accuracy. The role focuses on leasing support, resident documentation, compliance coordination, and day-to-day office assistance while working closely with site teams and property management staff.</p><p><br></p><p>Responsibilities:</p><p>• Support daily office functions for property management and leasing teams, including phone coverage, document handling, and general administrative coordination.</p><p>• Maintain organized resident and tenant records, ensuring lease files, compliance documents, and supporting paperwork remain current and complete.</p><p>• Assist with leasing administration by processing applications, preparing move-in and move-out documentation, and responding to resident correspondence.</p><p>• Enter, update, and review resident, leasing, and property information in Yardi with a high level of accuracy.</p><p>• Monitor important timelines such as annual recertifications, lease renewals, and required compliance submissions to help keep operations on schedule.</p><p>• Prepare reports, letters, notices, and other business documents needed to support site and property management activities.</p><p>• Work with on-site staff, property managers, and outside partners to facilitate smooth communication and consistent administrative support.</p><p>• Help ensure affordable housing documentation aligns with tax credit program requirements and applicable housing compliance standards.</p>
We are looking for an experienced Administrative Assistant to support senior leadership at a fast-growing company in the natural foods and consumer packaged goods space. This role is central to keeping executive priorities organized by managing schedules, communications, travel coordination, and meeting preparation. The ideal candidate brings professionalism, strong judgment, and the ability to stay ahead of shifting needs in a dynamic business environment.<br><br>Responsibilities:<br>• Create high-quality presentations, written communications, reports, and other materials for senior leaders.<br>• Manage calendars and arrange meetings by coordinating attendees, timing, agendas, and supporting documents.<br>• Monitor follow-up items, deadlines, and open priorities to help leadership stay aligned on key actions.<br>• Organize incoming requests and sort information so urgent matters are identified and addressed efficiently.<br>• Support recurring reporting, special projects, and day-to-day administrative tasks with accuracy and timeliness.<br>• Coordinate domestic and international travel plans, including detailed itineraries and related logistics.<br>• Prepare and submit expense reports while maintaining complete and accurate backup documentation.<br>• Partner with teams across the organization to support meetings, events, off-sites, and cross-functional initiatives.<br>• Help streamline communication among stakeholders and provide additional executive support as priorities evolve.
We are looking for an Administrative Assistant to provide day-to-day support for a product-focused team in California. This contract opportunity has the potential to become permanent and is ideal for someone who enjoys keeping projects organized, communicating with multiple partners, and ensuring materials are accurate and well prepared. The role combines administrative coordination, document review, vendor communication, and hands-on support for product-related tasks in a fast-paced onsite environment.<br><br>Responsibilities:<br>• Review packaging copy, instruction materials, and sales support documents to verify consistency, clarity, and accuracy before release.<br>• Organize and maintain both electronic and hard-copy records so project files, samples, and supporting documents remain easy to access.<br>• Correspond with suppliers about purchase activity, sample requests, delivery updates, and expected timelines.<br>• Serve as a coordination point between internal departments and outside manufacturing or vendor partners to keep work moving forward.<br>• Assist with product evaluations, basic quality checks, and research on competing items and market trends.<br>• Handle routine administrative work such as data entry, document preparation, inbound call support, and general office assistance.<br>• Support shipping-related tasks, including preparing, measuring, weighing, and moving packages of up to 25 pounds.<br>• Contribute to special assignments and research projects as business needs evolve.
<p>Opportunities for top Administrative Assistant (Administrative Coordinator / Administrative Associate)</p><p>We currently have ongoing positions for a results-oriented Administrative Assistants who are deeply passionate about growing their career. In this role, you will perform various administrative and office support duties. Do you love mail merging, pivot tables and presentation design? Then we have a position for you. Please email your resume and call 626.463.2031 for immediate consideration.</p><p>· Answer phones and greet visitors in English and Spanish</p><p>· Schedule appointments and maintain calendars</p><p>· Schedule and coordinate staff and other meetings</p><p>· Collate and distribute mail</p><p>· Prepare communications, such as memos, emails, invoices, reports and other correspondence</p><p>· Write and edit documents from letters to reports and instructional documents</p><p>· Create and maintain filing systems, both electronic and physical</p><p><br></p><p>If you are a self-starter who is passionate about supporting a dynamic and growing company and looking to thrive in a creative environment, we would love to hear from you! Contact us now</p>
<p>Opportunities for top Administrative Assistant (Administrative Coordinator / Administrative Associate)</p><p>We currently have ongoing positions for a results-oriented Administrative Assistants who are deeply passionate about growing their career. In this role, you will perform various administrative and office support duties. Do you love mail merging, pivot tables and presentation design? Then we have a position for you. Please email your resume and call 626.463.2031 for immediate consideration.</p><p>· Answer phones and greet visitors</p><p>· Schedule appointments and maintain calendars</p><p>· Schedule and coordinate staff and other meetings</p><p>· Collate and distribute mail</p><p>· Prepare communications, such as memos, emails, invoices, reports and other correspondence</p><p>· Write and edit documents from letters to reports and instructional documents</p><p>· Create and maintain filing systems, both electronic and physical</p><p><br></p><p>If you are a self-starter who is passionate about supporting a dynamic and growing company and looking to thrive in a creative environment, we would love to hear from you! Contact us now</p>
<p>A Medical Center in Long Beach is in the immediate need of Medical Finance Specialist. The Medical Finance Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Finance Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance.</p><p><br></p><p>Responsibilities:</p><p>• Conduct financial screenings for incoming clients to determine eligibility and financial liability.</p><p>• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.</p><p>• Maintain and update client financial records in electronic health record systems.</p><p>• Organize and track annual re-evaluations of client financial information.</p><p>• Follow up with clinical staff to ensure completion of required documentation for financial folders.</p><p>• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.</p><p>• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).</p><p>• Audit financial folders upon client discharge to ensure compliance and accuracy.</p>
<p>A healthcare company is looking for a detail-oriented <strong>Inpatient Care Coordinator</strong> to support care management efforts in Long Beach, California. This InPatient Care Coordinator role is ideal for someone who enjoys coordinating patient support activities, communicating with providers and patients by phone, and keeping clinical information accurate and up to date. The inpatient care coordinator role will help the team track patient needs after hospitalization, organize care-related information, and contribute to timely follow-up across a busy healthcare environment.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Place outbound calls to patients and healthcare providers to coordinate follow-up care and gather needed information.</p><p>• Enter and update case information accurately while managing a steady daily volume of patient records and care activity.</p><p>• Review hospital discharge reports to identify patients who may need additional attention and escalate concerns to the appropriate care team members.</p><p>• Assist with health risk screening activities under the direction of nursing staff and document findings clearly.</p><p>• Maintain complete and organized patient records to support continuity of care and internal care management workflows.</p><p>• Provide coverage for fellow coordinators when needed to help the department maintain consistent service levels.</p><p>• Support appointment and scheduling-related coordination tasks that help patients move through post-discharge care plans efficiently.</p><p><br></p><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off. </p>
<p>A Hospital in Los Angeles is seeking an experienced Medical Insurance Collections Specialist to join its revenue cycle team. The Medical Insurance Collections Specialist role will focus on insurance follow-up and collections for HMO and PPO payers, with an emphasis on resolving outstanding balances, researching claim issues, and securing timely reimbursement. The ideal candidate for the Medical Insurance Collections Specialist role will also have experience working with UB04 claims in a hospital setting. </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform insurance collections follow-up on outstanding hospital claims with a focus on HMO and PPO payers. </li><li>Contact insurance companies and payers to obtain claim status, secure payment, and resolve unpaid or underpaid accounts. </li><li>Review and work hospital UB04 claims to ensure accurate billing and proper reimbursement..</li><li>Investigate and resolve claim denials, rejections, underpayments, and payment delays. </li><li>Submit corrected claims, supporting documentation, and appeals as needed to facilitate payment resolution. </li><li>Follow up on aged accounts receivable and maintain productivity in line with departmental goals. </li><li>Document all collection activity, account updates, and payer communications in the billing system.</li><li>Collaborate with billing, coding, and patient financial services teams to resolve claim discrepancies and improve reimbursement outcomes. </li><li>Monitor payer trends and escalate recurring issues impacting collections. </li></ul><p><br></p><p><strong>Qualifications:</strong></p><ul><li>3+ years of experience in medical insurance collections, insurance follow-up, or healthcare accounts receivable..</li><li>Hospital billing or collections experience required. </li><li>Strong knowledge of HMO and PPO insurance plans, payer guidelines, and reimbursement processes. </li><li>Experience working with UB04 claims required. </li><li>Familiarity with denial management, appeals, and claim resolution processes</li><li>Strong attention to detail, organizational skills, and ability to manage a high-volume workload..</li><li>Excellent communication and problem-solving skills..</li><li>Proficiency with hospital billing systems and electronic medical records preferred.</li></ul>
<p>A nationally recognized Hospital in Los Angeles is in the immediate need of a Medical Collector II. The Medical Collector II must be well versed with insurance collections preferably from Medi-Cal/Medicaid and CCS (California Children’s Services). The Medical Collector II is responsible for analyzing denied claims and appeal accordingly. The Medical Collector II also performs a variety of duties which may include answering in-coming telephone calls, documenting insurance information, verification of eligibility and billing/appealing claims to the various insurance carriers. This position is responsible for handling patient accounts in a high-performance team environment with a number of additional duties as needed for operational needs. </p><p><br></p><p><strong>This position is a Hybrid / Remote role requiring an employee to come in office 1 day per week. </strong></p><p><br></p><p>Essential Duties: </p><p>• Reviews claims to ensure all key components were submitted accurately to the correct payer. </p><p>• Review Medi-Cal/Medicaid and CCS (California Children’s Services) claims. </p><p>• Reviews correspondence and denial information to determine why claims have not been paid and takes appropriate actions to ensure the accurate and timely submission of claims. </p><p>• Researches and analyzes accounts and payments to determine whether charges were billed properly, and to resolve incorrect information on patient accounts; reverses balance to credit or debit if charges were improperly billed. </p><p>• Corrects and resubmits claims and identifies issues that require attention. Makes all the appropriate corrections in the system and submits appeals as appropriate, following </p><p>individual payer guidelines and including all supporting documentation. </p><p>• Contacts insurance companies and or patient/guarantor to verify insurance eligibility and resolve payment problems; provides information to expedite collection process. </p><p>• Prepares adjustments for charges which cannot be billed and processes or submits to the supervisor per adjustment guidelines. </p><p>• Ensures authorization, TARs/SARs are included in claim submissions to payers and follows appropriate steps to secure the authorization/retro authorization. </p>