<p>Are you a skilled Medical Billing Specialist with expertise in denials management and insurance collections? A Hospital in Van Nuys is seeking a detail-oriented and driven professional to join a dynamic healthcare team. If you have the experience, passion, and commitment it takes to ensure accurate and efficient medical billing processes, we want to hear from you!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Research, appeal, and resolve insurance claim denials to maximize reimbursement.</li><li>Review patient accounts to identify and address billing discrepancies.</li><li>Communicate with insurance companies to expedite claims resolution and payment collections.</li><li>Ensure compliance with relevant laws, regulations, and company standards in all billing activities.</li><li>Prepare and submit accurate claims to insurance carriers.</li><li>Monitor and analyze accounts receivable and follow up on unpaid claims.</li><li>Provide exceptional customer service to patients and providers regarding account questions.</li></ul><p><br></p>
<p>We are seeking a highly skilled and detail-oriented <strong>Medical Biller</strong> to ensure timely and efficient processing of medical claims and support in optimizing revenue.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As a <strong>Medical Biller</strong>, your duties will include:</p><ul><li>Preparing and submitting medical claims to insurance companies, government payers, and patients in compliance with healthcare regulations.</li><li>Reviewing and verifying accuracy of patient insurance information, ensuring claims are complete and error-free.</li><li>Monitoring the progress of submitted claims and following up on delayed or denied claims, resolving discrepancies appropriately.</li><li>Generating patient invoices and explaining charges while ensuring clarity for patients regarding financial obligations.</li><li>Ensuring proper coding of procedures, diagnoses, and services using CPT, ICD-10, and HCPCS codes.</li><li>Collaborating with healthcare providers and other administrative staff to resolve complex billing issues.</li><li>Handling adjustments for payments, posting refunds or corrections, and reconciling account balances.</li><li>Staying informed of changes in regulations, policies, and industry standards related to medical billing.</li><li>Maintaining compliance with HIPAA regulations to safeguard patient information.</li></ul><p><br></p>
<p>We are looking for an experienced Billing Analyst to join our client in Los Angeles, California. In this role, you will play a key part in managing billing processes, ensuring accurate accounts receivable operations, and supporting customer service functions.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, process, and review invoices to ensure accuracy and compliance with company policies.</p><p>• Manage accounts receivable functions, including tracking payments and resolving discrepancies.</p><p>• Utilize Aderant and other financial systems to perform billing and reporting tasks efficiently.</p><p>• Provide excellent customer service by addressing billing inquiries and resolving issues in a timely manner.</p><p>• Collaborate with internal teams to ensure seamless billing operations and communication.</p><p>• Generate and analyze financial reports to support decision-making processes.</p><p>• Maintain accurate documentation of billing activities and ensure compliance with regulations.</p><p>• Support export customer service processes, ensuring accurate and timely billing for international clients.</p><p>• Assist with the implementation and improvement of billing procedures to enhance efficiency.</p>
<p>We are currently seeking a detail-oriented and proactive <strong>Insurance Verification Representative</strong> to join our dynamic team and support patients by identifying coverage options and reducing surprises related to billing.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As an <strong>Insurance Verification Representative</strong>, your key duties will include:</p><ul><li>Contacting insurance providers to verify patient eligibility, coverage, and benefits.</li><li>Completing detailed verification of copays, deductibles, co-insurance amounts, and out-of-pocket expenses.</li><li>Accurately entering and updating patient insurance information in the Electronic Medical Records (EMR) or billing system.</li><li>Communicating insurance eligibility details with patients in an easy-to-understand, professional manner.</li><li>Providing guidance to patients regarding their financial obligations, including potential costs and payment plan options.</li><li>Collaborating directly with front office staff, billing teams, and clinical departments to ensure all insurance information is accurately documented prior to medical services being rendered.</li><li>Resolving discrepancies with insurance claims and quickly addressing any issues related to denied or rejected verifications.</li><li>Maintaining compliance with HIPAA regulations and other applicable laws regarding patient confidentiality.</li></ul><p><br></p>
<p>We are looking for a detail-oriented Personal Injury Plaintiff Case Manager to join our team in Los Angeles, California. In this role, you will oversee personal injury cases, ensuring efficient claim processing, effective communication, and timely management of client needs. The ideal candidate will have a strong background in case management and a commitment to delivering exceptional client service.</p><p><br></p><p>Responsibilities:</p><p>• Process and open health insurance claims with accuracy and attention to detail.</p><p>• Upload and organize critical documents into the company’s case management software.</p><p>• Schedule and coordinate medical appointments while maintaining an up-to-date calendar.</p><p>• Serve as the primary point of contact for clients, addressing their concerns promptly and professionally.</p><p>• Ensure proper documentation and tracking of case details to support smooth claim administration.</p><p>• Collaborate with internal teams to streamline workflows and maintain case progress.</p><p>• Utilize CRM tools to manage client interactions and maintain detailed records.</p><p>• Monitor case timelines and ensure all deadlines are met.</p><p>• Stay informed about personal injury law and regulations to provide informed support.</p><p>• Maintain confidentiality and adhere to legal compliance standards.</p>
We are looking for an experienced HR Specialist to join our team on a long-term contract basis, working onsite in Tustin, California. In this role, you will support critical human resources functions, including benefits administration, leave management, and workers’ compensation claims, to ensure seamless operations during a busy period. This is an excellent opportunity to contribute to a dynamic environment while collaborating closely with employees and leadership.<br><br>Responsibilities:<br>• Administer employee benefits programs, including open enrollment processes and providing guidance on available options.<br>• Coordinate and manage leave of absence policies in compliance with federal and state laws, ensuring accurate documentation and effective communication.<br>• Oversee workers’ compensation claims by filing reports, liaising with insurance providers, and maintaining compliance with applicable regulations.<br>• Facilitate department transfers by updating employee records, ensuring payroll accuracy, and coordinating with stakeholders for smooth transitions.<br>• Ensure compliance with Affordable Care Act requirements, including tracking employee hours and completing necessary documentation.<br>• Collaborate with employees and managers to address HR-related inquiries and provide support regarding policies and procedures.<br>• Utilize HRIS systems, such as Paycom, to manage employee data and streamline HR processes.<br>• Maintain confidentiality and ensure adherence to HIPAA regulations when handling sensitive employee information.<br>• Support onboarding processes to welcome new hires and ensure proper integration into the organization.<br>• Contribute to creating a positive employee experience by addressing concerns and fostering effective communication.
<p>We are looking for a diligent and organized Medical Insurance Verifications Specialist to join our team at a growing Sub-Acute Care Center. This unique role requires a candidate with a special combination of administrative skills and direct experience in health care, particularly in the areas of authorizations and insurance verification.</p><p><br></p><p>Responsibilities:</p><ul><li>Verify patient insurance coverage, including validating benefits and eligibility, and ensure accurate data entry in our patient record system.</li><li>Process referrals, pre-authorizations, and pre-certifications for patients.</li><li>Coordinate with healthcare providers, patients, and insurance companies to obtain authorizations for patient treatment.</li><li>Communicate effectively and courteously with patients and their representatives, physicians, other hospital personnel, and insurance companies.</li><li>Manage and oversee administrative tasks and office operations to ensure the facility runs smoothly and efficiently.</li><li>Maintain strict confidentiality of patient health information in compliance with health insurance portability and accountability act (HIPAA) regulations.</li><li>Assist with administrative duties such as answering phones, scheduling appointments, and filing paperwork.</li></ul><p><br></p>
<p>We are looking for a diligent and organized Medical Insurance Verifications Specialist to join our team at a growing Sub-Acute Care Center. This unique role requires a candidate with a special combination of administrative skills and direct experience in health care, particularly in the areas of authorizations and insurance verification.</p><p><br></p><p>Responsibilities:</p><ul><li>Verify patient insurance coverage, including validating benefits and eligibility, and ensure accurate data entry in our patient record system.</li><li>Process referrals, pre-authorizations, and pre-certifications for patients.</li><li>Coordinate with healthcare providers, patients, and insurance companies to obtain authorizations for patient treatment.</li><li>Communicate effectively and courteously with patients and their representatives, physicians, other hospital personnel, and insurance companies.</li><li>Manage and oversee administrative tasks and office operations to ensure the facility runs smoothly and efficiently.</li><li>Maintain strict confidentiality of patient health information in compliance with health insurance portability and accountability act (HIPAA) regulations.</li><li>Assist with administrative duties such as answering phones, scheduling appointments, and filing paperwork.</li></ul>
<p>Ongoing Opportunities for Billing Clerks. As a billing clerk, you will be responsible for processing bills, preparing journal entries of adjustments to billings, communicating with customers regarding billing adjustments. If this sounds like you, please send your resume AND call 626.463.2030 to schedule an interview.</p><p><br></p><p>Invoice Generation:</p><p>· Generate and prepare invoices for products or services rendered to customers.</p><p>· Ensure that invoices are accurate, complete, and comply with company policies and customer agreements.</p><p>Data Entry and Accuracy:</p><p>· Enter billing information into the accounting or billing system accurately.</p><p>· Verify and cross-check details such as product or service descriptions, quantities, and pricing.</p><p>Customer Communication:</p><p>· Communicate with customers regarding billing inquiries, discrepancies, and overdue payments.</p><p>· Provide excellent customer service by addressing customer concerns related to billing.</p><p>Payment Processing:</p><p>· Record and process customer payments, including checks, credit card payments, and electronic transfers.</p><p>· Reconcile payments received with the corresponding invoices.</p><p>Record Keeping and Documentation:</p><p>· Maintain organized and detailed records of customer transactions and billing activities.</p><p>· Ensure proper documentation of billing-related communications and resolutions.</p><p>Statement Generation:</p><p>· Generate and distribute periodic statements to customers.</p><p>· Include relevant details such as outstanding balances, due dates, and payment instructions.</p><p><br></p><p><br></p>
<p>A California-based defense litigation firm is seeking a skilled Contract Paralegal to join their team in a hybrid capacity. The role involves providing comprehensive support, including document management, drafting and organizing discovery, and overseeing case and file management. The ideal candidate has experience in California litigation processes, strong organizational skills, and the ability to multitask in a fast-paced legal environment. This contract position offers an indefinite duration and the potential to transition into a permanent role with the firm. Competitive compensation and a collaborative, supportive work environment are provided. </p><p><br></p><p>Responsibilities: • Assist with discovery processes, including organizing and reviewing case documentation. • Draft motions using established templates to support legal proceedings. • Prepare trial materials and provide comprehensive support during trial preparation. • Manage case calendars and ensure important deadlines are met. • Coordinate claim administration and maintain accurate records. • Utilize legal software such as Aderant, Adobe Acrobat, and CompuLaw for efficient case management. • Handle billing functions and ensure timely processing of legal expenses. • Communicate effectively with clients and team members to support case progression. • Conduct research and maintain updated knowledge of relevant laws and regulations.</p>
<p>We are seeking a detail-oriented <strong>Insurance Verification Specialist</strong> with <strong>Medi-Cal experience</strong> to join our team. This role is critical to ensuring that patient insurance information is accurately verified and updated to maintain a seamless billing process and exceptional patient care. The ideal candidate has hands-on experience with Medi-Cal programs, strong communication skills, and a commitment to excellence in administering insurance verifications.</p><p><strong>Key Responsibilities</strong></p><ul><li>Verify insurance eligibility, benefits, and coverage for Medi-Cal and other insurance providers.</li><li>Obtain and validate pre-authorization and referral requirements for medical services.</li><li>Accurately input patient insurance information into the system and update records as needed.</li><li>Communicate with patients, insurance companies, and healthcare providers to clarify coverage details.</li><li>Resolve insurance-related issues and discrepancies efficiently and proactively.</li><li>Ensure compliance with Medi-Cal guidelines, policies, and procedures.</li><li>Collaborate with billing teams to ensure timely claims submission and support revenue cycle processes.</li></ul><p><br></p>
<p>We are looking for a dedicated Case Manager to join a stable team in Sherman Oaks looking to add a new member of the team. This firm specializes in personal injury cases, and this role is crucial to ensuring clients receive the support and advocacy they need throughout the claims process. The ideal candidate will thrive in a collaborative and focused environment while demonstrating exceptional organizational and communication skills.</p><p><br></p><p>Responsibilities:</p><p>• Manage claims processing with various insurance carriers, including health insurance providers, Medicare, and MediCal.</p><p>• Resolve property damage and loss of use claims efficiently and effectively.</p><p>• Coordinate with healthcare providers to schedule medical appointments for injury treatment.</p><p>• Advocate for clients by monitoring medical treatments and organizing care based on provider recommendations.</p><p>• Review, analyze, and interpret medical records, surgical reports, and medical bills.</p><p>• Prepare comprehensive case files for submission to the demands department.</p><p>• Maintain clear and precise communication with clients, healthcare providers, and internal staff.</p><p>• Collaborate with team members to ensure seamless case management and support.</p><p>• Utilize case management software and tools to maintain accurate and organized documentation.</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Duarte, California. The Medical Biller/Collections Specialist will play a vital role in managing the revenue cycle for Skilled Nursing Facility services, ensuring claims are processed accurately and efficiently while adhering to Medicare, Medi-Cal, and other insurance guidelines. This is an excellent opportunity for a meticulous individual to contribute to a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit claims to insurance payers with accuracy and timeliness, focusing on Skilled Nursing Facility services.</p><p>• Investigate and resolve denied claims by identifying root causes and implementing corrective measures to reduce future denials.</p><p>• Draft and submit appeals for claim denials to secure appropriate reimbursements.</p><p>• Maintain comprehensive and accurate patient billing records in compliance with Medicare, Medi-Cal, and payer-specific requirements.</p><p>• Follow up with insurance companies and payers to resolve outstanding claims and ensure timely reimbursements.</p><p>• Stay up-to-date on federal, state, and local billing regulations to ensure strict adherence to compliance standards.</p><p>• Collaborate with administrative and clinical teams to streamline billing workflows and improve documentation processes.</p><p>• Generate detailed account reports that outline billing trends, claim statuses, and resolution timelines for management review.</p>
<p>Are you passionate about accuracy and efficiency, especially when it comes to helping a business run like a well-oiled machine? Do you have a knack for quickly processing information while maintaining a high level of detail? We're hiring a <strong>Data Entry Specialist</strong> for a <strong>fast-paced healthcare administration company based in Oceanside, CA</strong>—and this is far more than just a typing job. This role goes beyond simple data entry. You'll be working with <strong>confidential patient records, insurance data, and healthcare compliance documents</strong>, directly impacting billing, operations, and the patient experience. If you’ve worked in medical admin, billing, or back office roles—or if you’re simply an analytical thinker who loves being precise—this is the perfect next step in your career.</p><p><br></p><p><u>🩺 </u><strong><u>Daily Responsibilities:</u></strong></p><ul><li>Enter, update, and verify patient and insurance data into EMR systems</li><li>Review submitted records for accuracy, completeness, and compliance</li><li>Process claims-related data and billing submissions</li><li>Coordinate data retrieval and tracking with other departments (billing, clinical, and admin)</li><li>Maintain confidentiality with all HIPAA-protected information</li><li>Prepare reports and data summaries for internal audits or compliance reviews</li></ul>
<p>We are seeking a highly organized and detail-oriented <strong>Insurance Authorization Specialist</strong> with proven <strong>Microsoft Excel expertise</strong> to join our team. In this critical role, you will be responsible for securing insurance authorizations and ensuring compliance with pre-approval requirements for medical services and procedures. If you thrive in fast-paced environments and are motivated by efficiency and accuracy, we want to hear from you!</p><p><strong>Key Responsibilities</strong></p><ul><li>Obtain and manage authorizations from insurance providers for medical services and procedures.</li><li>Track and document authorization statuses in systems, spreadsheets, and other databases.</li><li>Maintain organized records in <strong>Microsoft Excel</strong> for tracking deadlines, approvals, and patient-specific insurance requirements.</li><li>Collaborate with medical staff and billing departments to ensure insurance approvals align with patient care plans.</li><li>Communicate with patients and insurance companies to address issues, verify coverage requirements, or request additional documentation.</li><li>Proactively follow up on pending authorizations to avoid delays in medical services.</li><li>Ensure compliance with HIPAA regulations and insurance provider-specific policies.</li></ul><p><br></p>
<p><b>One of the NICEST law firms seeks Bilingual Spanish Case Manager!</b></p><p><br></p><p>Law firm with multiple offices seeks Law Firm Case Manager to handle intake, case management, scheduling, etc. 40 hours per week and onsite in Downtown LA.</p><p><br></p><p>Salary up to $37/hour + STRONG benefits' package!</p><p><br></p><p><strong>Placed a candidate 6 years ago that is still there and been promoted!</strong></p><p><br></p><p>TO APPLY, ONLY send resume directly to Vice President of Direct Hire, Samantha Graham at Samantha [dot] Graham [at] RobertHalf [dot] [com]</p>
<p><strong>Firm seeks Coverage Opinion Writing Attorney (No Litigation)</strong></p><p><br></p><p>This Attorney opening involves working closely with insurers to provide expert advice and analysis on insurance coverage matters. The ideal attorney will have a deep understanding of various insurance policies and be adept at drafting comprehensive coverage opinions.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Collaborate with insurers to provide advice on insurance coverage and interpret policies.</li><li>Analyze various types of insurance policies across an array of industries.</li><li>Draft detailed coverage opinions based on policy analysis and contract interpretation.</li><li>Maintain effective communication with clients and internal team members.</li></ul><p><br></p><p>Billable hour target: 1850/year</p><p><br></p><p>Can work 100% remote in US (PST work hours)</p><p><br></p><p><u>Perks of Firm</u>:</p><ol><li>Established for over 30 years</li><li>Multiple offices with large firm resources</li><li>Women-owned firm</li></ol><p><br></p>
