17 results for Insurance Authorization Specialist in Laguna, CA

Insurance Authorization Coordinator

San Bernardino, CA
onsite
Temporary
19.79 - 25.00 USD / Hourly
We are looking for a meticulous and organized Insurance Authorization Coordinator to join our team on a contract basis in San Bernardino, California. In this role, you will be responsible for managing retroactive insurance authorizations and ensuring compliance with healthcare regulations. The ideal candidate will have hands-on experience with the Treatment Authorization Request (TAR) process and a strong background in healthcare billing and insurance coordination. Responsibilities: • Process and submit retroactive insurance authorizations for hospital services, ensuring accuracy and timeliness. • Monitor and follow up on pending and denied authorizations to secure approvals efficiently. • Collaborate with clinical and administrative teams to collect and verify required medical documentation. • Communicate with insurance companies to resolve issues and obtain necessary approvals. • Maintain compliance with hospital policies, as well as state and federal healthcare regulations. • Accurately record and update information within hospital information systems. • Stay informed on updates and best practices related to the Treatment Authorization Request (TAR) process. • Assist with administrative tasks, such as scanning and organizing documentation, to support the authorization process. • Handle inbound and outbound calls related to authorization inquiries and resolutions.
2026-04-02T18:58:44Z

Surgery Medical Billing Collections Specialist

Los Angeles, CA
onsite
Contract / Temporary to Hire
24.91 - 31.01 USD / Hourly
A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. DUTIES AND RESPONSIBILITIES -Performs full cycle billing and collection functions for Surgical professional fees -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission -Performs all data entry and charge posting functions for surgical services as needed -Performs all third party follow-up functions for all products and surgical procedures. -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing. -Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation. - Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons
2026-04-03T23:23:42Z

Medical Insurance Collections Specialist

Buena Park, CA
onsite
Contract / Temporary to Hire
23.02 - 29.11 USD / Hourly
A Healthcare Company is seeking an experienced and motivated Medical Insurance Collections Specialist to join our team. This role is ideal for professionals with a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. Bilingual fluency in English and Spanish is required to support our diverse patient and client population.Responsibilities:<ul><li>Manage accounts receivable and pursue outstanding medical insurance claims from payers</li><li>Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances</li><li>Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements</li><li>Interpret EOBs (Explanation of Benefits) and remittance advice</li><li>Accurately document collection efforts and outcomes in the billing system</li><li>Negotiate payment arrangements and address denials or appeals</li><li>Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices</li></ul>
2026-04-06T22:28:45Z

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary
21.00 - 24.00 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.
2026-04-07T17:59:03Z

Medical Billing Specialist - Hospital

Los Angeles, CA
onsite
Contract / Temporary to Hire
25.12 - 31.91 USD / Hourly
A Hospital in Los Angeles that is dedicated to highest level of patient care is seeking a Medical Billing Collections Specialist to join its hospital team. This role focuses on ensuring accurate and timely collections of medical claims for acute care facilities, using your expertise in UB-04 claims processing. Key Responsibilities:<ul><li>Manage and process collections for medical insurance claims, including HMO and PPO plans.</li><li>Handle UB-04 claims for acute care facilities, ensuring claims are completed accurately and timely.</li><li>Follow up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies.</li><li>Communicate effectively with internal departments and external payers to resolve outstanding accounts.</li><li>Ensure compliance with all HIPAA, insurance, and regulatory requirements.</li><li>Maintain accurate records and documentation of claim statuses within systems.</li></ul>
2026-04-03T23:13:50Z

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.
2026-04-03T22:24:07Z

Medical Billing Specialist

Encino, CA
onsite
Contract / Temporary to Hire
25.00 - 35.00 USD / Hourly
We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for a multi‑specialty healthcare practice. This role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution. Key Responsibilities:<ul><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-31T18:44:06Z

Medical Billing Collections Specialist

Van Nuys, CA
onsite
Contract / Temporary to Hire
22.12 - 30.01 USD / Hourly
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. Responsibilities:• Conduct hospital billing and collection processes with accuracy and efficiency• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care• Provide training for Collector I positions• Appeals and denials management.• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role• Oversee the management of insurance correspondence and maintain accurate records• Monitor patient accounts and take appropriate action to collect insurance payments.
2026-04-03T23:09:01Z

Medical Billing Specialist

Los Angeles, CA
onsite
Contract / Temporary to Hire
25.34 - 29.34 USD / Hourly
We are looking for a skilled Medical Billing Specialist to join our team in Los Angeles, California. This Contract to permanent position offers an exciting opportunity to manage comprehensive billing operations for a multi-specialty healthcare practice, with a focus on Ear, Nose, and Throat services. The ideal candidate will have expertise in claim submission, collections, and patient communications, as well as experience with out-of-network and concierge billing models. Responsibilities: • Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections. • Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers. • Conduct quality assurance checks and audits of billing tasks performed by team members. • Handle out-of-network billing and provide support for concierge-model practices. • Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog. • Assist with collections and reimbursement strategies to optimize revenue. • Maintain detailed and accurate billing records, including comprehensive account documentation. • Ensure compliance with payer policies, industry standards, and internal workflows. • Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
2026-04-01T23:08:42Z

Billing Specialist

Los Angeles, CA
onsite
Permanent
85000.00 - 95000.00 USD / Yearly
We are seeking an experienced Billing Coordinator to play an integral role in supporting the Firm’s Finance operations. The Billing Coordinator’s key responsibility is to generate, edit and prepare monthly pre-bills and subsequent invoices and appeals for submission to clients accurately and efficiently. This position works closely with the members of the Finance team, as well as Attorneys and Legal Secretaries as needed. The Billing Coordinator must also demonstrate expertise in all facets of the electronic billing function, which may include split and other complex billing arrangements. The position reports to the Firm's Financial Operations Director and will be 100% on-site in West LA Key Responsibilities: • Work with clients, attorneys and staff to generate, distribute, edit, finalize and submit legal bills via various methods • Perform client billing and collection activities for assigned clients in a timely manner • Monitor aging of unbilled fees for assigned partners and/or clients • Resolve billing-related issues with internal and external parties • Coordinate with the other Finance team members to address questions related to the Firm's billing process • Prepare and maintain billing reports, reconciliations, schedules and analyses • Apply retainer funds and process write-offs in accordance with Firm policy • Create new billing formats and handle special projects as requested, including complex billing and client-driven requests Experience & Qualifications: • Bachelor’s degree, preferably in finance, accounting or business administration, or equivalent experience, is preferred • A minimum of 2 years of billing experience in a law firm required • At least one year of billing experience with Aderant Classic is required; experience with Aderant Expert preferred • Ability to read and interpret engagement letters and complicated government contracts to determine and apply client and matter-level rate structures • Must be detail-oriented and have excellent organizational, analytical and problem-solving skill; show great attention to detail while handling a high volume of bills • Must possess outstanding interpersonal skills in order to work effectively within a team environment, as well as independently • Previous experience working directly with attorneys or other licensed professionals in a professional services environment • Strong project management skills with the ability to deliver under tight deadlines. Strong proficiency using Microsoft Office Suite (Word, Excel, Outlook) Must be able to adapt to changing technology The successful candidate must be proactive, customer service oriented, energetic and reliable. As with all Firm positions, impeccable integrity, excellent judgment and sensitivity to others are essential. Enthusiasm, diverse interests and a good sense of humor are also useful and appreciated.
2026-03-24T23:58:44Z

Medical Billing Support Services Associate

Los Angeles, CA
onsite
Contract / Temporary to Hire
24.96 - 31.19 USD / Hourly
The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments. This role is a Hybrid Remote role. Candidate must live with in Los Angeles County. Essential Duties:• Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process.• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.• Reverses balance to credit or debit if charges were improperly billed.• Contacts insurance carriers as necessary to determine correct payment application.• Reviews correspondences related to refunds and or recoupments. Takes the necessary actions such as issuing a refund request or sending a dispute/appeal to the payer.• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.• Communicates issues related to payment posting and refunds from payers to management.• Updates correct payer and resubmits claims to the payers.• Consistently meets/exceeds productivity and quality standards.• Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists.• Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances.• Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns. Review and resolve self-pay credit balances.• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.• Special billing and collections for LOAs.• Special billing and collections for Case Rates.• Special billing and collections for Embassy Services.• Performs other related duties as assigned by management team.
2026-04-03T23:23:42Z

Part Time Medical Biller

La Puente, CA
onsite
Contract / Temporary to Hire
22.00 - 27.00 USD / Hourly
A Healthcare Company in La Puente is in need of a Part Time OBGYN Medical Biller. The Part Time OBGYN Medical Biller must experienced medical billing professional who understands medical 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>
2026-03-26T18:04:10Z

Billing Coordinator

Torrance, CA
onsite
Contract / Temporary to Hire
21.00 - 30.00 USD / Hourly
The Behavioral Health Billing Coordinator provides administrative and billing support for the mental health component of the Behavioral Health program. This role works closely with the Billing Director and billing team to assist with documentation, data tracking, and billing workflows to ensure Department of Mental Health (DMH) requirements are met accurately and on time. This is an entry‑level healthcare administrative role ideal for candidates with medical office experience, strong Excel skills, and an interest in healthcare billing operations. Key Responsibilities:<ul><li>Provide day‑to‑day billing and administrative support for behavioral health services</li><li>Assist with DMH billing documentation, data tracking, and record maintenance</li><li>Review, organize, and update billing‑related files and reports</li><li>Support billing workflows to ensure submissions are accurate and timely</li><li>Collaborate with the Billing Director and internal teams to resolve routine billing issues</li><li>Maintain confidentiality and compliance with HIPAA and DMH requirements</li><li>Perform additional administrative and billing support duties as assigned</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-21T00:04:03Z

Medical Billing Support Services

Los Angeles, CA
onsite
Contract / Temporary to Hire
25.65 - 29.70 USD / Hourly
We are looking for an experienced Medical Billing Support Services to join a Hospital in Los Angeles, California. The Medical Billing Support Services play a critical part in ensuring the efficiency and accuracy of cash receipt processing, billing, and collections within the healthcare industry. This position offers an opportunity to work collaboratively across departments to optimize revenue cycle operations while maintaining compliance and quality standards. The Medical Billing Support Services will be a hybrid remote role. Responsibilities:• Process cash receipts, both automated and manual, ensuring accuracy and adherence to billing systems and procedures.• Investigate and resolve issues related to unapplied cash receipts, escalating complex cases when necessary.• Review and analyze patient eligibility and pending recoupment statuses to take appropriate actions.• Evaluate credit balances and issue timely refunds to payers with accuracy.• Collaborate with Finance and other Revenue Cycle teams to improve cash posting, reconciliation, and balancing processes.• Communicate payment posting and refund-related issues to management for prompt resolution.• Verify payer information, resubmit claims, and ensure proper application of payments.• Perform cross-trained tasks such as charge entry, insurance eligibility verification, and resolving billing edits.• Handle customer service interactions, addressing patient payment concerns and resolving self-pay credit balances.• Participate in special projects, including audits, compliance reviews, and unique billing and collections scenarios.
2026-04-03T22:24:07Z

Billing Clerk

Beverly Hills, CA
onsite
Contract / Temporary to Hire
25.65 - 28.00 USD / Hourly
A hybrid company in Westwood is seeking a dedicated Billing Specialist to join the Finance department. This individual will work closely with colleagues and program teams, applying their knowledge of nonprofit grant and program funding processes. The Billing Specialist will oversee the preparation of grant-related invoices and ensure transactions remain in compliance with contract requirements. Primary Responsibilities:<ol><li>Collect vendor and program invoices, accurately assigning billing codes for precise reporting and timely payment.</li><li>Create and submit contract and grant invoices, ensuring all supporting documentation is complete.</li><li>Track grant spending, partnering with program teams to optimize funding utilization within grant parameters.</li><li>Maintain up-to-date and accurate records related to all aspects of grant billing activities.</li><li>Ensure all grant and contract invoices are prepared and submitted within required timeframes.</li><li>Monitor budget modification timelines and assist with the preparation and submission of budget changes to funding agencies as needed.</li><li>Serve as a point of contact with funders, addressing requests for information and promptly resolving billing concerns.</li><li>Reconcile and maintain balance sheet details for grants receivable and revenue.</li><li>Support additional tasks and special projects as assigned.</li></ol> Education & Experience:<ul><li>Minimum of 3 years’ billing experience required.</li><li>Strong proficiency in Microsoft Office, especially Excel.</li><li>Bachelor’s degree in Finance or Accounting preferred but not required.</li><li>Outstanding organizational skills and attention to detail.</li><li>Demonstrated ability to work independently, prioritize responsibilities, and consistently meet deadlines.</li><li>Effective written and verbal communication skills.</li><li>Adaptable to change, with a strong willingness to learn new processes.</li><li>Skilled at coordinating with both internal leaders and external partners.</li></ul> This is a contract-to-hire position. The Billing Specialist role can pay up to $28/hr, based on experience. Hours are Monday – Friday from 8-5 or 9-6PM.
2026-03-05T20:23:48Z

Billing Analyst

Long Beach, CA
onsite
Contract / Temporary to Hire
28.50 - 33.00 USD / Hourly
We are looking for a skilled Billing Analyst to join our team on a Contract to permanent employment basis in Long Beach, California. In this role, you will play a pivotal part in managing complex project-based invoicing, ensuring accuracy and timeliness while collaborating with project managers and stakeholders. This is an excellent opportunity for someone with a strong background in billing systems to contribute to process improvements and deliver high-quality results. Responsibilities: • Create and finalize detailed invoices for Time & Materials (T& M) and Fixed Price projects, including labor reports, material purchases, and subcontractor invoices. • Compile comprehensive billing packages using data from multiple sources to ensure accuracy and completeness. • Monitor project costs to ensure compliance with contract terms and billing schedules. • Collaborate with project managers and stakeholders to review draft invoices and align on project milestones. • Support month-end close activities by reconciling billing and providing necessary documentation. • Drive process improvements by assisting with the transition to advanced billing systems and workflows. • Analyze billable hours and cost data to develop accurate draft invoices. • Generate ad hoc financial and billing reports as required. • Proactively identify and resolve potential billing discrepancies to maintain stakeholder confidence. • Maintain strong communication with internal and external stakeholders to ensure trust and responsiveness.
2026-03-20T17:38:43Z

Case Manager

Gardena, CA
onsite
Temporary
22.00 - 24.00 USD / Hourly
As a Case Manager at our child services nonprofit, you will play a critical role in supporting children and families by facilitating access to quality child care and related social services. You will manage a caseload of clients, ensuring eligibility, enrollment, and recertification processes are completed accurately and in compliance with state and federal regulations. This is a temp-to-hire role with long-term potential for the right candidate. Key Responsibilities:<ul><li>Serve as the main point of contact for assigned families and children, guiding them through services and resources available.</li><li>Conduct intake assessments, determine eligibility, and manage initial enrollment and recertification for subsidized child care programs (e.g., Stage 2, Stage 3, CAPP, and other state/federally funded programs).</li><li>Maintain detailed and up-to-date documentation and records for all cases, including data entry and reporting required for compliance.</li><li>Communicate program information, eligibility requirements, and processes effectively to families, addressing questions and providing supportive customer service.</li><li>Develop and maintain positive relationships with clients, community partners, and internal team members.</li><li>Monitor caseloads to ensure all timelines and compliance requirements are met without delays.</li><li>Participate in ongoing training to stay abreast of changes in program guidelines or regulations.</li><li>Identify and address barriers families face, advocating for client needs and connecting them with additional resources as necessary.</li></ul>
2026-04-01T16:28:48Z