Add your latest resume to match with open positions.

10 results for Claims Processor Healthcare in Los Angeles, CA

Medicare Biller

Los Angeles, CA
onsite
Temporary / Contract
26 - 35 USD / Hourly
We are seeking an experienced Medicare Biller with strong knowledge of DDE systems and Noridian processes to join our team. This Medicare Biller is responsible for preparing, reviewing, and submitting Medicare claims, resolving billing issues, and ensuring compliance with all payer and regulatory guidelines. The Medicare Biller must have a strong understanding of Medicare billing procedures, excellent attention to detail, and the ability to work efficiently in a fast-paced healthcare environment.Key Responsibilities:<ul><li>Submit and process Medicare claims accurately and in a timely manner</li><li>Utilize DDE (Direct Data Entry) systems for claim status review, corrections, and submissions</li><li>Work within Noridian portals and systems to manage Medicare billing activity</li><li>Follow up on unpaid, denied, or rejected claims and take appropriate corrective action</li><li>Investigate billing discrepancies and resolve reimbursement issues</li><li>Verify patient insurance eligibility and benefits as needed</li><li>Maintain accurate billing records and documentation</li><li>Ensure compliance with Medicare regulations, billing requirements, and internal policies</li><li>Communicate with payers, patients, and internal departments regarding billing questions and claim resolution</li><li>Assist with account reconciliations and aging reports to support revenue cycle performance</li></ul>
2026-06-05T00:00:00Z

Inpatient Hospital Medical Biller (Medicare)

Los Angeles, CA
onsite
Temporary to Hire
25.76 - 35 USD / Hourly
The Inpatient Hospital Medicare Biller is responsible for the accurate and timely billing of inpatient hospital claims to Medicare payers. The Hospital Medicare Biller role is strictly focused on claim generation and submission. The Hospital Medicare Biller candidate has hands-on inpatient billing experience in an acute care hospital setting and is highly detail-oriented. The Hospital Medicare Biller will be tasked billed inpatient claims to Noridian and have DDE experience that includes T-screen corrections. Key Responsibilities<ul><li>Perform hands-on billing of inpatient hospital claims using the UB‑04 claim form</li><li>Generate, review, and submit inpatient claims to Medicare payers</li><li>Bill inpatient claims to Noridian and have DDE experience that includes T-screen corrections.</li><li>Ensure claims are complete, accurate, and compliant with payer and regulatory requirements prior to submission</li><li>Review charges, DRGs, patient demographics, and insurance information for billing accuracy</li><li>Resolve billing edits and claim rejections prior to claim release</li><li>Ensure billing practices comply with Medicare regulations, Managed Care contracts, and hospital policies</li><li>Validate billing data in coordination with Coding, Case Management, and Revenue Integrity teams</li><li>Maintain accurate documentation and notes within the billing system</li><li>Work closely with internal Revenue Cycle and Finance teams to support clean claim submission</li><li>Assist with billing-related reporting or reconciliation as requested</li><li>Support month-end billing deadlines</li></ul>
2026-06-15T00:00:00Z

Medical Insurance Collections Specialist

Van Nuys, CA
onsite
Temporary to Hire
24.12 - 30.8 USD / Hourly
Join a mission-driven healthcare team where your expertise directly impacts patient care and organizational success. We are seeking an experienced Hospital Medical Collections Specialist to support revenue cycle operations in a fast-paced hospital environment. This Hospital Medical Collections Specialist opportunity is ideal for a detail-oriented professional with a strong background in hospital billing, insurance follow-up, and complex claims resolution across inpatient and outpatient accounts. In this role, you will play a critical part in maximizing reimbursement, resolving denied and underpaid claims, and partnering with internal teams to improve financial outcomes. The ideal candidate thrives in a collaborative environment, understands payer regulations, and is highly skilled in navigating hospital collections with urgency and accuracy.What You’ll Do<ul><li>Drive resolution of outstanding hospital claims by reviewing account status, contacting payers, and securing timely reimbursement.</li><li>Manage collection activity across a diverse portfolio of insurance plans, including Medicare Managed Care, Medi-Cal Managed Care, commercial payers, and HMO/PPO products.</li><li>Research denied and underpaid claims, identify root causes, and prepare compelling appeals with supporting documentation.</li><li>Handle both inpatient and outpatient hospital billing accounts while ensuring compliance with payer requirements and contractual guidelines.</li><li>Analyze payment activity, billing edits, and account trends to identify reimbursement barriers and implement corrective actions.</li><li>Maintain thorough and accurate documentation of payer communication, follow-up activity, and account resolution steps.</li><li>Collaborate closely with billing, coding, and revenue cycle teams to resolve claim discrepancies and improve collection performance.</li><li>Adapt to department workflows and support Collector I-level processes and training initiatives as needed.</li></ul>What We’re Looking For<ul><li>Proven experience in hospital billing and medical collections within an acute care or healthcare revenue cycle environment.</li><li>Strong understanding of managed care plans, denial management, appeals, and payer follow-up processes.</li><li>Experience working with inpatient and outpatient hospital claims.</li><li>Excellent analytical, communication, and problem-solving skills.</li><li>Ability to prioritize workload, meet deadlines, and work efficiently in a high-volume environment.</li><li>Strong attention to detail and commitment to accuracy.</li></ul>
2026-06-12T00:00:00Z

Medical Insurance Collections Specialist

North Hollywood, CA
onsite
Temporary / Contract
23.01 - 31.23 USD / Hourly
A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.Key Responsibilities<ul><li>Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers</li><li>Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution</li><li>Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs</li><li>Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims</li><li>Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history</li><li>Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes</li><li>Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates</li><li>Monitor assigned accounts to reduce aging AR and improve overall collection performance</li><li>Support departmental goals related to cash collections, denial management, and revenue cycle efficiency</li></ul>
2026-06-05T00:00:00Z

Patient Account Representative

San Fernando, CA
onsite
Temporary / Contract
22 - 30 USD / Hourly
A large healthcare organization located in the San Fernando Valley is seeking an experienced Patient Account Representative for an immediate opening. This opportunity is ideal for candidates with 2+ years of experience in medical billing, collections, or patient account management.The Patient Account Representative will be responsible for managing patient accounts, resolving billing discrepancies, processing payments, and collaborating with patients, insurance providers, and internal departments to ensure accurate and timely account resolution.Key Responsibilities:• Review and manage patient accounts to ensure accurate billing and timely follow-up• Communicate with insurance companies, patients, and hospital departments regarding claim status, payment issues, and account discrepancies• Process payments, adjustments, refunds, and account updates in accordance with hospital policies and procedures• Investigate and resolve denied, underpaid, and unpaid claims• Assist patients with billing inquiries, payment arrangements, and explanations of financial responsibility• Maintain accurate and detailed documentation of account activity within billing and hospital systems• Ensure compliance with HIPAA regulations, hospital policies, and applicable billing guidelines• Support month-end reporting and account reconciliation activities as needed
2026-06-10T00:00:00Z

Medical EOB Reviewer

Los Angeles, CA
onsite
Temporary to Hire
25 - 29.01 USD / Hourly
A Hospital in Los Angeles is seeking a Medical EOB Reviewer to support our healthcare revenue cycle team. This Medical EOB Reviewer role is ideal for someone who understands medical billing workflows and can confidently evaluate Explanation of Benefits documents, payment activity, and claim-related paperwork. The Medical EOB Reviewer will help keep billing operations organized, respond to questions from patients and payors, and ensure supporting documentation is handled accurately and on time. Must be bilingual in Spanish. Responsibilities:• Examine Explanation of Benefits documents to confirm billing accuracy, identify discrepancies, and support compliance with healthcare reimbursement guidelines.• Manage incoming mail by opening, sorting, and routing EOBs, payments, and related correspondence to the appropriate workflow.• Log and organize live checks received from insurance payors with a high level of accuracy and attention to detail.• Obtain authorizations from carriers or provider offices when additional approval is needed to move billing activity forward.• Address questions from patients, providers, insurance representatives, and internal teams regarding charges, payments, and EOB-related items.• Compile and submit supporting records required for claims follow-up, billing review, appeals, or other reimbursement activities.• Maintain clear and organized documentation of reviewed EOBs, authorizations, payment records, and submitted materials.• Partner with billing, collections, and medical records staff to investigate issues, resolve variances, and keep accounts progressing appropriately.
2026-06-09T00:00:00Z

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. 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.
2026-06-15T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
24 - 28.99 USD / Hourly
A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up. Key Responsibilities: Submit accurate and timely medical claims to insurance carriers and government payers Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies Work accounts receivable reports and maintain collection efforts to reduce outstanding balances Investigate claim rejections and denials, and take corrective action for resubmission or appeal Post payments, adjustments, and denials as needed Communicate with payers, patients, and internal staff regarding billing questions and account resolution Maintain compliance with billing regulations, payer requirements, and organizational policies Support revenue cycle activities including claims review, payment reconciliation, and account research Document collection activity and account status updates accurately in the billing system
2026-06-15T00:00:00Z

Medical Biller (Hospital)

Van Nuys, CA
onsite
Temporary to Hire
23.12 - 30.12 USD / Hourly
A Hospital in the San Fernando Valley are looking for an experienced Hospital Medical Collections Specialist. The Hospital Medical Collections Specialist ideal for someone with a strong background in medical revenue cycle activities and a solid understanding of payer follow-up across government and commercial plans. The Hospital Medical Collections Specialist will help drive timely reimbursement by resolving outstanding accounts, addressing denials, and working through appeals for both inpatient and outpatient hospital claims. The hospital is open to candidates with at least 2 years of experience. Responsibilities:• Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement.• Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution.• Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage.• Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims.• Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution.• Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables.• Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications.
2026-06-09T00:00:00Z

Medical Administrative Clerk

Arcadia, CA
onsite
Temporary / Contract
22 - 24 USD / Hourly
We are looking for a dependable Medical Administrative Clerk to support administrative operations for a medical company in Arcadia, California. This Medical Administrative Clerk opportunity is well suited for someone who works carefully, manages records efficiently, and is comfortable handling routine clerical tasks in an office setting. The role focuses on keeping documentation accurate, maintaining organized files, and assisting the team with day-to-day office support. Key Responsibilities:• Maintain office documentation by preparing, sorting, and updating records to support smooth daily operations.• Enter information into internal files and spreadsheets with a high level of accuracy and attention to detail.• Create and format letters, forms, and other routine business documents using standard office software.• Organize paper and digital filing systems so records remain accessible, current, and easy to retrieve.• Scan, upload, and manage documents to ensure complete and well-maintained administrative files.• Provide back-office assistance to team members by handling general clerical requests and administrative tasks as assigned.• Track basic information in Microsoft Excel to support reporting and routine record maintenance. Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-06-16T00:00:00Z