12 results for Claims Processor Healthcare in Irvine, CA

Order Processor

Long Beach, CA
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for an Order Processor to join our team on a long-term contract basis in Long Beach, California. In this role, you will handle sales orders, customer inquiries, and effectively support the sales team by ensuring smooth operations. This position requires excellent organizational skills and the ability to resolve customer concerns promptly. Responsibilities: • Enter customer orders accurately into the system and provide price quotes upon request. • Notify Sales Representatives and Regional Managers about product shortages and collaborate to address customer concerns. • Maintain organized filing systems to support efficient order tracking and documentation. • Identify and resolve discrepancies in orders to meet customer requirements. • Coordinate the timely shipment of customer orders to ensure satisfaction. • Communicate effectively with warehouse staff, credit teams, and other departments to resolve issues. • Support customer service efforts by addressing inquiries and providing solutions to order-related problems. • Utilize computer systems and office equipment to perform data entry and other administrative tasks. • Assist in maintaining strong customer relationships through attentive and timely interactions.
2026-03-17T00:00:00Z

Operations Processor

Los Angeles, CA
onsite
Temporary
24 - 30 USD / Hourly
This position is replacing an employee who is retiring after 30+ years, with a planned last day of March 27th. The goal is to bring someone on before then to allow time for cross-training. The role will start as a contract position with potential to convert to a permanent role within about 90 days. The position will focus on processing paper-based contracts and entering them into the system, applying payments, maintaining multiple databases, reviewing summaries and reports, and vetting legal documentation. The role requires strong attention to detail, basic accounting knowledge (debits, credits, journal entries), basic Excel skills (formulas), and experience working with Adobe. Key Responsibilities Cemetery Data Processing (65%) • Batch and process cemetery contract documents. • Enter cemetery contracts, interment orders, service orders, and related documents into a proprietary database. • Apply payments to contracts. • Process adjustments including debit memos, credit memos, and journal vouchers. • Process burial information and maintain record accuracy. • Conduct thorough research of existing contracts and burial records from multiple sources to support data processing. • Analyze large volumes of information and synthesize findings into clear, concise summaries. • Retrieve and review document files for accurate system input. • Assist with month-end closing tasks. Accounting Support (20%) • Report revenue recognition income. • Provide backup support to the AR Administrator for deposit processing and AR inquiries. Additional Duties (15%) • Perform other duties as assigned.
2026-03-10T00:00:00Z

Payments Claim Specialist

Los Angeles, CA
onsite
Temporary
20 - 23 USD / Hourly
We are looking for a detail-oriented Payments Claim Specialist to join our team in Los Angeles, CA, This position offers an excellent opportunity to contribute to claim administration and payment processing operations in the fraud department within a dynamic and fast-paced environment. The ideal candidate will demonstrate expertise in handling disputes, ensuring compliance with regulatory standards, and maintaining high-quality standards in financial processes. Responsibilities:• Process and manage claims related to payments, ensuring accuracy and adherence to established policies.• Conduct thorough investigations of disputes and chargebacks to resolve issues promptly.• Monitor and enforce compliance with regulatory requirements related to claim administration.• Prepare detailed reports and metrics to track progress and performance.• Collaborate with clients to address concerns and maintain strong relationships.• Perform quality checks on claims to ensure accuracy and compliance with procedures.• Review ledgers, debits, and credits to identify and address discrepancies.• Support fraud investigations by analyzing claims and payment processes.• Maintain organized records and documentation for auditing and reporting purposes.
2026-03-11T00:00:00Z

Hospital Medical Collections Specialist

Van Nuys, CA
onsite
Temporary
23 - 30 USD / Hourly
Join our hospital team as a Medical Collections Specialist—a critical role in our revenue cycle management department. You do not need prior experience; comprehensive training is provided to ensure your success in this position.Responsibilities:<ul><li>Manage and resolve patient accounts, including billing and collections</li><li>Contact patients and insurance companies to follow up on outstanding balances</li><li>Maintain accurate records and documentation in our collection systems</li><li>Communicate professionally with patients, insurers, and internal teams</li><li>Ensure compliance with privacy regulations and hospital policies</li><li>Support strategic initiatives to improve collections processes</li></ul>
2026-02-28T00:00:00Z

Medical Billing Specialist

La Puente, CA
onsite
Contract / Temporary to Hire
23.75 - 28.23 USD / Hourly
A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus. Responsibilities:• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.• Maintain secure and compliant records of Protected Health Information used in billing activities.• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.• Collaborate with internal teams to streamline billing processes and improve efficiency.
2026-03-18T00:00:00Z

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary
21 - 24 USD / Hourly
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
2026-03-16T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Contract / Temporary to Hire
25.19 - 31.91 USD / Hourly
A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience, Responsibilities: 1. Investigating and resolving denied claims from various insurance providers. 2. Reviewing credit balances and denials management. 3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing. 4. Follow up on outstanding claim denials and secure reimbursement where possible. 5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies. 6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates. 7. Submit appeals and reconsideration requests to insurance companies for denied claims. 8. Strong understanding of HMO and PPO.
2026-03-11T00:00:00Z

Medical Eligibility Specialist

Long Beach, CA
onsite
Contract / Temporary to Hire
18.2115 - 23 USD / Hourly
A Medical Center in Long Beach is in the immediate need of Medical Eligibility Specialist. The Medical Eligibility Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Eligibility Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance. Responsibilities:• Conduct financial screenings for incoming clients to determine eligibility and financial liability.• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.• Maintain and update client financial records in electronic health record systems.• Organize and track annual re-evaluations of client financial information.• Follow up with clinical staff to ensure completion of required documentation for financial folders.• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).• Audit financial folders upon client discharge to ensure compliance and accuracy.
2026-03-18T00:00:00Z

Medical Collector I (Multi-Specialty Healthcare Environment)

Beverly Hills, CA
onsite
Contract / Temporary to Hire
23.03 - 27.97 USD / Hourly
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.Key Responsibilities<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>
2026-03-17T00:00:00Z

Lead Medical Billing Specialist (Behavioral Health)

Long Beach, CA
onsite
Temporary
25 - 30 USD / Hourly
A growing Behavioral Health Company is hiring a Lead 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. . Your responsibilities in this role - EOB review and claims submission- Send notices to insurance companies and patients for request for payment- Manage elements of specific patient accounts, such as billing and reimbursement- Coordinate with numerous working teams to guarantee quality of data and uniformity- Behavioral Health or DMH is a big plus but not a must
2026-02-28T00:00:00Z

Lead Medical Billing Specialist (Behavioral Health)

Long Beach, CA
onsite
Temporary
25 - 30 USD / Hourly
A growing Behavioral Health Company is hiring a Lead 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. . Your responsibilities in this role - EOB review and claims submission- Send notices to insurance companies and patients for request for payment- Manage elements of specific patient accounts, such as billing and reimbursement- Coordinate with numerous working teams to guarantee quality of data and uniformity- Behavioral Health or DMH is a big plus but not a must
2026-02-28T00:00:00Z

OBGYN Medical Biller

La Puente, CA
onsite
Temporary
23 - 29 USD / Hourly
Join our team as an OBGYN Medical Biller and play a key role in supporting women’s health clinics. We are looking for an experienced medical billing professional who understands the complexities of OBGYN coding and has proven expertise in Medi-Cal insurance and reimbursement processes.Responsibilities:<ul><li>Accurately enter and process medical bills for OBGYN visits, procedures, and ancillary services</li><li>Review and validate ICD-10, CPT, and HCPCS codes specific to OBGYN care</li><li>Ensure compliance with Medi-Cal guidelines and regulations for claims submission</li><li>Track, follow up, and resolve denials and rejections for Medi-Cal claims</li><li>Maintain clear communication with providers, payers, and patients regarding billing issues</li><li>Collaborate with clinical and administrative staff to ensure proper documentation</li><li>Generate and review monthly billing reports for accuracy and completeness</li></ul>
2026-03-13T00:00:00Z