6 results for Claims Processor Healthcare in Long Beach, CA

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

Medical Billing Support Services

Los Angeles, CA
onsite
Temporary
25.65 - 29.7 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.
2026-03-25T00:00:00Z

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.
2026-03-27T00:00:00Z

Patient Financial Data Coordinator

Long Beach, CA
onsite
Temporary
21 - 30 USD / Hourly
The Patient Financial Data Coordinator supports the Patient Financial Services team by assisting with Medi‑Cal eligibility verification, insurance documentation, data tracking, and EHR data entry. This is an entry‑level healthcare administrative role ideal for candidates with strong attention to detail, Excel skills, and an interest in healthcare operations. The role works closely with clinical and billing teams to ensure accurate financial documentation and compliance with regulatory requirements. Key Responsibilites:<ul><li>Verify Medi‑Cal eligibility and support determination of patient financial responsibility</li><li>Maintain enrollment, re‑certification, and tracking logs using Excel and internal systems</li><li>Create, update, and manage Electronic Payor Financial Information (E‑PFI) records within the EHR</li><li>Collect, organize, and follow up on required patient financial and insurance documentation</li><li>Maintain electronic insurance and EOB files for private insurance clients</li><li>Perform daily data entry, record maintenance, and routine audits for accuracy and compliance</li><li>Support discharge reviews and UNDAP determinations as assigned</li><li>Cross‑train within the department and assist with process improvements as needed</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-20T00:00:00Z

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.
2026-03-24T00:00:00Z

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