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9 results for Claims Processor Healthcare in Los Angeles, CA

Medical Billing - eClinicalWorks
  • Los Angeles, CA
  • remote
  • Temporary / Contract
  • 18 - 23 USD / Hourly
  • <p>We are seeking an experienced (Remote) Medical Billing Specialist to manage end‑to‑end billing functions using eClinicalWorks. This remote 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. eClinicalWorks is a MUST,</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Using eClinicalWorks for a medical billing and collections functions. </li><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><p><br></p><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
  • 2026-04-17T00:00:00Z
Medical Billing Specialist
  • Van Nuys, CA
  • onsite
  • Temporary to Hire
  • 25.3365 - 29.337 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.<br><br>Responsibilities:<br>• Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections.<br>• Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers.<br>• Conduct quality assurance checks and audits of billing tasks performed by team members.<br>• Handle out-of-network billing and provide support for concierge-model practices.<br>• Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog.<br>• Assist with collections and reimbursement strategies to optimize revenue.<br>• Maintain detailed and accurate billing records, including comprehensive account documentation.<br>• Ensure compliance with payer policies, industry standards, and internal workflows.<br>• Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
  • 2026-04-27T00:00:00Z
Patient Account Representative
  • Van Nuys, CA
  • onsite
  • Temporary / Contract
  • 22.12 - 29.81 USD / Hourly
  • <p>A Hospital in Van Nuys is in the need of an experienced Patient Account Representative to join our team in Van Nuys, California. In this role, the Patient Account Representative will utilize your expertise in hospital billing and collections to ensure seamless revenue cycle operations. This is a Contract to permanent position, offering the opportunity to transition into a permanent role based on performance and organizational needs.</p><p><br></p><p>Responsibilities:</p><p>• Manage hospital billing and collections processes, ensuring accuracy and compliance with regulations.</p><p>• Handle Medicare managed care, commercial insurance, and medical managed care accounts.</p><p>• Investigate and resolve medical billing denials and appeals to recover outstanding payments.</p><p>• Process claims for hospital inpatient and outpatient services with a focus on maximizing reimbursement.</p><p>• Collaborate with insurance carriers, patients, and internal teams to address billing inquiries and disputes.</p><p>• Monitor accounts receivable to identify and prioritize collections efforts.</p><p>• Utilize knowledge of HMO and PPO plans to navigate complex insurance requirements.</p><p>• Support training initiatives for entry level team members in Collector I positions.</p><p>• Maintain detailed records of collections activities and prepare reports for management.</p><p>• Ensure adherence to hospital revenue cycle policies and procedures.</p>
  • 2026-04-25T00:00:00Z
Patient Account Representative
  • Van Nuys, CA
  • onsite
  • Temporary to Hire
  • 22.8 - 26.4 USD / Hourly
  • <p>We are looking for a Patient Account Representative to join a healthcare team in California. The Patient Account Representative is great position for a medical biller looking to work for a hospital. The Patient Account Representative will be tasked with medical billing and collections and manage accounts across a range of payer types. The Patient Account Representative role focuses on resolving outstanding balances, addressing denials and appeals, and supporting timely reimbursement for both inpatient and outpatient services.</p><p><br></p><p>Responsibilities:</p><p>• Pursue outstanding hospital accounts by following up with insurance carriers and other payers to secure accurate and timely payment.</p><p>• Investigate claim denials, underpayments, and delayed reimbursements, then take appropriate action to move accounts toward resolution.</p><p>• Prepare and submit appeals with supporting documentation to challenge payer decisions and recover eligible revenue.</p><p>• Work across multiple coverage categories, including Medicare managed care, commercial plans, and managed care products, to address billing and collection issues.</p><p>• Review inpatient and outpatient account activity to identify discrepancies, correct billing issues, and escalate complex cases when needed.</p><p>• Maintain detailed records of collection efforts, account updates, and payer communications in accordance with departmental standards.</p><p>• Collaborate with internal billing and revenue cycle teams to resolve account barriers and improve reimbursement outcomes.</p>
  • 2026-04-27T00:00:00Z
Patient Account Representative
  • Van Nuys, CA
  • onsite
  • Temporary to Hire
  • 22.01 - 28.19 USD / Hourly
  • <p>A Large Healthcare Company located in the San Fernando Valley is in the immediate need of a Patient Account Representative. The Patient Account Representative is ideal for someone that had 2+ years of experience in medical billing and/or collections. The Patient Account Representative will be responsible for managing patient accounts, resolving billing issues, processing payments, and working with patients, insurers, and internal departments to ensure accurate and timely account resolution.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Review and manage patient accounts to ensure accurate billing and timely follow-up</li><li>Contact insurance companies, patients, and hospital departments regarding claim status, payment issues, and account discrepancies</li><li>Process payments, adjustments, refunds, and account updates in accordance with hospital policies</li><li>Investigate and resolve denied, underpaid, or unpaid claims</li><li>Assist patients with billing questions, payment arrangements, and financial responsibility explanations</li><li>Maintain accurate documentation of account activity in billing and hospital systems</li><li>Ensure compliance with HIPAA, hospital policies, and applicable billing regulations</li><li>Support month-end reporting and account reconciliation activities as needed</li></ul>
  • 2026-04-27T00:00:00Z
Medical Biller/Collections Specialist
  • Corona, CA
  • onsite
  • Temporary / Contract
  • 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. <br> 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. <br> 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.
  • 2026-04-15T00:00:00Z
Medical AR Insurance Specialist
  • Los Angeles, CA
  • onsite
  • Temporary / Contract
  • 23.75 - 27.5 USD / Hourly
  • <p>We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialistwill focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.</p><p>• Investigate and resolve written-off accounts to maximize revenue recovery.</p><p>• Process approximately 50-60 claims per day with attention to detail and accuracy.</p><p>• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.</p><p>• Handle medical denials and appeals, ensuring timely and effective resolution.</p><p>• Review and manage accounts associated with various insurance carriers.</p><p>• Analyze and document collection efforts for reporting and compliance purposes.</p><p>• Maintain up-to-date knowledge of relevant medical billing and insurance policies.</p><p>• Communicate effectively with internal teams to coordinate account resolution strategies.</p>
  • 2026-04-21T00:00:00Z
Medical AR Insurance Specialist
  • Los Angeles, CA
  • onsite
  • Temporary / Contract
  • 23.75 - 28 USD / Hourly
  • <p>We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialist will focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment. This role is a hybrid tole.</p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.</p><p>• Investigate and resolve written-off accounts to maximize revenue recovery.</p><p>• Process approximately 50-60 claims per day with attention to detail and accuracy.</p><p>• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.</p><p>• Handle medical denials and appeals, ensuring timely and effective resolution.</p><p>• Review and manage accounts associated with various insurance carriers.</p><p>• Analyze and document collection efforts for reporting and compliance purposes.</p><p>• Maintain up-to-date knowledge of relevant medical billing and insurance policies.</p><p>• Communicate effectively with internal teams to coordinate account resolution strategies.</p>
  • 2026-04-21T00:00:00Z
Medical Biller - ENT
  • Van Nuys, CA
  • remote
  • Temporary / Contract
  • 19 - 25 USD / Hourly
  • <p>We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for an Ear, Nose &amp; Throat (ENT) healthcare practice. This remote 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.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><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><p><br></p><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p><p><br></p>
  • 2026-04-09T00:00:00Z