15 Results for Medical Authorizations Specialist Jobs in Los Angeles, CA

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Medical Authorizations Specialist

Los Angeles, CA
onsite
Temporary / Contract
24.07 - 30.12 USD / Hourly
A Hospital in Los Angeles is looking for an experienced Medical Authorizations Specialist to support patient access and revenue cycle operations for a healthcare organization. The Medical Authorizations Specialist position focuses on securing timely insurance approvals, insurance verifications confirming coverage details, and helping patients move forward with needed services without unnecessary delays. The Medical Authorizations Specialist candidate brings strong payer knowledge, sound judgment, and a patient-centered approach in a fast-moving hospital or clinical environment. Responsibilities:• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.
2026-09-28T00:00:00Z

Medical Billing Specialist

Encino, CA
onsite
Temporary to Hire
24.91 - 30.12 USD / Hourly
We are looking for an experienced Medical Billing Specialist to join a healthcare organization in California. This Medical Billing Specialist opportunity is ideal for someone with a strong background in surgical and ambulatory facility billing who can support accurate claim processing and healthy revenue cycle performance. The Medical Billing Specialist will work closely with payers, patients, and internal teams to resolve billing issues, improve reimbursement outcomes, and maintain compliant account documentation. Responsibilities:• Prepare and submit facility claims for surgical services with careful attention to completeness, accuracy, and payer-specific rules.• Review procedure details, patient information, coverage data, and required authorizations before releasing claims for billing.• Apply appropriate coding elements, including diagnosis and procedure codes, modifiers, and revenue details, to support proper reimbursement.• Enter and reconcile insurance payments, patient payments, adjustments, and other account activity in a timely manner.• Analyze remittance documents and explanation of benefits statements to identify denials, short payments, and billing variances.• Pursue outstanding receivables by contacting payers, researching account status, and escalating issues affecting reimbursement.• Investigate rejected claims and denial trends, then prepare corrected submissions, reconsiderations, or appeals when needed.• Monitor aging reports and organize follow-up efforts based on deadlines, claim value, and collection priorities.• Communicate with insurance representatives, physician offices, patients, and internal departments to address account questions and resolve discrepancies.• Maintain complete billing records while following healthcare privacy standards and current reimbursement regulations.
2026-09-29T00:00:00Z

Medical Billing Specialist

Los Angeles, CA
onsite
Temporary to Hire
25 - 32 USD / Hourly
A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Medical Biller to join its growing team. The ideal Medical Biller should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Biller is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medicare billing is a big plus. Responsibilities:• Ensure timely submission of medical bills to different insurance companies.• Conduct verification of patients' insurance coverage.• Review explanations of benefits.• Determine the patient's financial status and capability to pay their bills.• Apply appropriate codes to billable goods and services.• Address and resolve patient complaints regarding bills.• Maintain confidentiality and comply with all federal and state health information privacy laws.• Monitor and record late payments.• Regularly report to the Billing Manager.
2026-10-05T00:00:00Z

Credentialing Specialist

Long Beach, CA
onsite
Temporary / Contract
26 - 28 USD / Hourly
A healthcare company is looking for an experienced Credentialing Specialist to lead credentialing and provider data activities for a healthcare organization in Long Beach, California. The Credentialing Specialist is responsible for managing provider onboarding, recredentialing, payer enrollment support, and provider record maintenance while ensuring compliance with regulatory, accreditation, and health plan requirements. The Credentialing Specialist will also collaborate with internal teams to improve workflows, maintain audit readiness, and promote accurate, consistent credentialing practices. Key Responsibilities:<ul><li>Manage day-to-day credentialing activities for providers, including initial appointments, reappointments, and related follow-up tasks.</li><li>Coordinate provider onboarding, recredentialing cycles, payer enrollment support, and privileging documentation to ensure timely processing.</li><li>Maintain compliance with accreditation standards, delegated credentialing requirements, and applicable state and federal regulations.</li><li>Review credentialing files, provider rosters, and supporting documentation for completeness, accuracy, and timely updates.</li><li>Monitor credentialing volume, track turnaround times, and help resolve issues that may delay provider processing.</li><li>Conduct routine audits of credentialing records and assist with preparation for internal and external audits or delegated reviews.</li><li>Partner with leadership and cross-functional teams to support process improvements, policy updates, and reporting needs.</li><li>Maintain provider data integrity across systems to support accurate reporting, downstream operations, and compliance requirements.</li></ul>Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-09-28T00:00:00Z

Credentialing Specialist

El Segundo, CA
onsite
Temporary / Contract
24 - 28 USD / Hourly
A healthcare company is seeking an experienced Credentialing Specialist to join its team in El Segundo, California. The Credentialing Specialist will bring strong high-volume credentialing experience, including knowledge of ABA provider credentialing processes, and will help bring structure and organization to a busy department. Key Responsibilities:<ul><li>Process provider, physician, and ABA practitioner credentialing files from intake through completion, ensuring accuracy and timely follow-up.</li><li>Review applications, supporting documents, licensure records, and certifications to confirm all required information is complete, current, and compliant.</li><li>Manage initial credentialing and re-credentialing activities by tracking renewal timelines and coordinating document collection ahead of deadlines.</li><li>Communicate with providers, clinicians, internal departments, and external entities to resolve missing information and clear outstanding items.</li><li>Support credentialing functions related to ABA services, including working with behavior analysts, therapists, and related provider documentation as needed.</li><li>Maintain organized credentialing records and update status details across departmental systems and tracking tools.</li><li>Prioritize backlog work effectively while meeting established turnaround times in a fast-paced healthcare environment.</li><li>Assist with credentialing-related process improvement, clean-up efforts, and additional departmental support needs as identified.</li></ul> Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-10-07T00:00:00Z

Credentialing Specialist

El Segundo, CA
onsite
Temporary / Contract
24 - 28 USD / Hourly
A healthcare company is looking for an experienced Credentialing Specialist to join our team in El Segundo, California. The Credentialing Specialist will support a high-volume credentialing workload and requires someone who can step in quickly, work independently, and maintain accuracy in a fast-paced healthcare environment. Key Responsibilities:• Manage end-to-end credentialing activities for healthcare providers, ensuring files are complete, accurate, and processed within required timelines.• Review applications and supporting documentation for initial credentialing and recredentialing, following established healthcare and payer standards.• Communicate with providers, internal departments, and external organizations to obtain missing information and resolve credentialing issues efficiently.• Track application progress, maintain organized records, and provide status updates on outstanding items and completion timelines.• Verify licenses, certifications, education, work history, and other required documentation to support provider enrollment and compliance.• Assist with reducing credentialing backlogs by prioritizing urgent files and handling a high volume of cases with strong attention to detail.• Support ongoing process documentation and identify file discrepancies or workflow gaps that may affect credentialing completion.• Ensure all credentialing activities align with internal policies, regulatory requirements, and healthcare industry best practices. Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-10-07T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
25.13 - 30.8 USD / Hourly
We are looking for an experienced Medical Biller/Collections Specialist to support a busy revenue cycle team in Los Angeles. This Medical Biller/Collections Specialist position is ideal for someone who understands the full medical billing lifecycle and can drive timely reimbursement across commercial, government, and patient accounts. The Medical Biller/Collections Specialist in this role will help strengthen accounts receivable performance by resolving claim issues, pursuing outstanding balances, and maintaining accurate billing documentation. Responsibilities:• Prepare and transmit clean claims to insurance carriers and government programs in a timely manner to support consistent cash flow.• Review outstanding accounts and take proactive steps to collect payment on unpaid, denied, or partially reimbursed claims.• Analyze accounts receivable aging and prioritize follow-up activities to reduce open balances and improve resolution times.• Research claim edits, rejections, and denials, then complete corrections, resubmissions, or appeals as appropriate.• Enter payments, contractual adjustments, and denial information accurately within the billing records.• Communicate with health plans, patients, and internal team members to clarify billing questions and move accounts toward resolution.• Ensure billing activity aligns with payer rules, regulatory standards, and established organizational procedures.• Assist with broader revenue cycle tasks such as claim review, payment balancing, account investigation, and detailed documentation of collection efforts.
2026-10-01T00:00:00Z

Medical Coder

Los Angeles, CA
remote
Temporary / Contract
27 - 44 USD / Hourly
Our client is seeking an experienced Medical Coder with a strong background in Orthopedic Surgery coding. This remote opportunity is ideal for a detail-oriented professional with expertise in code abstraction, Medi-Cal, and Hospital UB-04 billing and coding practices. Based on general knowledge.Key Responsibilities:<ul><li>Review and accurately assign medical codes for orthopedic surgery procedures, diagnoses, and related services. </li><li>Perform detailed code abstraction from clinical documentation. </li><li>Ensure coding compliance with payer, state, and federal regulations. </li><li>Apply knowledge of Medi-Cal guidelines and requirements. </li><li>Process and review coding related to Hospital UB-04 claims. </li><li>Collaborate with clinical and revenue cycle teams to resolve coding discrepancies and support clean claim submission. </li><li>Maintain accuracy and productivity standards in a remote work environment. </li></ul>
2026-10-02T00:00:00Z

Benefits Specialist

Los Angeles, CA
onsite
Temporary to Hire
32 - 42 USD / Hourly
Key responsibilities: Benefits Administration and Employee Support - Serve as a primary point of contact for employee benefits inquiries through email and ServiceNow, researching and resolving enrollment and claims issues - Administer life events in Workday, including leave of absence events, from initiation through completion and close-out - Review and approve dependent eligibility in Workday and process Evidence of Insurability approvals and denials - Prepare benefit verification letters, new hire enrollment reminders, and The Hartford conversion letters - Process child support orders (medical support) in coordination with Payroll Billing, Premium Reconciliation and COBRA - Reconcile and process monthly carrier invoices - Manage premium receipts and deposits, arrears clearance, and late-premium notices for employees on leave - Administer COBRA end to end, including WageWorks reconciliation and auditing COBRA files against Workday to resolve discrepancies Audits, Reporting and Payroll Integration - Partner with Payroll each semi-monthly and biweekly pay cycle to ensure benefit retros and arrears are processed accurately - Run and analyze recurring audit reports, including retro recalculation by pay date, benefit status events, terminated employees with benefits, and dependent validation - Audit passive life events (coverage end dates, overage dependents, ACA eligibility) - Track part-time faculty benefit eligibility - Audit carrier integration files (including The Hartford) and resolve discrepancies - Prepare the VOP report for the Jesuit community with Payroll Open Enrollment - Coordinate benefits fair logistics, including carrier invitations, catering, and event setup - Provide administrative and employee support throughout the Open Enrollment period
2026-09-30T00:00:00Z

Benefits Specialist

Brea, CA
onsite
Temporary / Contract
32 - 36 USD / Hourly
We are looking for someone with 2–4 years of hands-on employee benefits and/or HR experience who can jump in and support the Benefits Manager across a portfolio of approximately 23 brands.The ideal candidate will have experience with:• Medical, dental, vision, life, disability, 401(k), and voluntary benefits • New hire enrollment and qualifying life events • Open enrollment and benefits administration • Employee questions and benefits issue resolution • Eligibility, carrier, billing, claims, and enrollment discrepancies • HRIS and/or benefits administration systems • Benefits reporting, audits, and data reconciliation • Basic ACA compliance knowledge • Excel and Microsoft Office • Managing multiple projects, deadlines, and follow-ups • Working with HR, payroll, carriers, vendors, and employees
2026-09-18T00:00:00Z

Medical Billing Associate II

Los Angeles, CA
onsite
Temporary / Contract
26.6 - 30.8 USD / Hourly
We are looking for a Medical Billing Associate II to support reimbursement activities for a healthcare organization in Los Angeles, California. The Medical Billing Associate II is well suited for an organized individual who can manage billing follow-up, resolve claim issues, and help improve cash recovery across patient accounts. The Medical Billing Associate II role requires strong knowledge of insurance requirements, denial resolution, and account analysis within a fast-paced, team-driven environment. This role is a hybrid role. Candidates must be able to come into the office 1 day per week. Responsibilities:• Review submitted claims for accuracy, completeness, and proper routing to the appropriate insurance payer before and after submission.• Investigate unpaid or denied claims by examining remittance details and payer correspondence, then take corrective action to move accounts toward payment.• Analyze account activity, payment posting, and billing details to identify errors, correct discrepancies, and update balances when charges were processed incorrectly.• Prepare corrected claims and formal appeals in accordance with payer-specific requirements, ensuring all required records and supporting documents are included.• Communicate with insurance carriers and related parties to resolve reimbursement obstacles, clarify claim status, and accelerate collections.• Confirm required authorizations and applicable documentation are attached to claims, and pursue retro-authorization when needed to support reimbursement.• Process or escalate charge adjustments that cannot be billed, following established approval guidelines and documentation standards.• Handle complex or escalated accounts, identify recurring billing issues, and contribute recommendations or special project support to strengthen workflow performance.• Support team effectiveness by meeting productivity and quality expectations and assisting with peer guidance or onboarding support when needed.Medi
2026-10-07T00:00:00Z

Medical Billing Coordinator

Los Angeles, CA
onsite
Temporary / Contract
26.12 - 31.19 USD / Hourly
A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Hospital Medical Billing Coordinator to join its growing team. The ideal Hospital Medical Billing Coordinator should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Billing Coordinator is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medical appeals and denials experience is plus.Responsibilities:• Ensure timely submission of medical bills to different insurance companies.• Conduct verification of patients' insurance coverage.• Insurance follow up, appeals and denials.• Determine the patient's financial status and capability to pay their bills.• Apply appropriate codes to billable goods and services.• Address and resolve patient complaints regarding bills.• Maintain confidentiality and comply with all federal and state health information privacy laws.• Monitor and record late payments.• Regularly report to the Billing Manager.
2026-10-02T00:00:00Z

Medical Biller/Collector

Los Angeles, CA
onsite
Temporary / Contract
26.12 - 30.19 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 payersFollow up on unpaid, denied, or underpaid claims and resolve billing discrepanciesWork accounts receivable reports and maintain collection efforts to reduce outstanding balancesInvestigate claim rejections and denials, and take corrective action for resubmission or appealPost payments, adjustments, and denials as neededCommunicate with payers, patients, and internal staff regarding billing questions and account resolutionMaintain compliance with billing regulations, payer requirements, and organizational policiesSupport revenue cycle activities including claims review, payment reconciliation, and account researchDocument collection activity and account status updates accurately in the billing system
2026-10-02T00:00:00Z

Medical Biller Collector

Los Angeles, CA
onsite
Temporary / Contract
25 - 32.01 USD / Hourly
We are looking for an experienced Medical Biller Collector to support a healthcare organization’s revenue cycle operations in Los Angeles, California. This Medical Biller Collector position is ideal for someone who understands hospital insurance follow-up, knows how to work complex outstanding claims, and can drive timely reimbursement through accurate research and persistent payer communication. The Medical Biller Collector will play an important part in reducing aged receivables, addressing claim barriers, and partnering with internal teams to improve payment outcomes. Responsibilities:• Pursue follow-up activities on unpaid and underpaid hospital insurance claims, with particular attention to major commercial and government payer accounts.• Review UB04 claim details for accuracy and take action to correct billing issues that may delay or prevent reimbursement.• Analyze denials, rejected claims, partial payments, and stalled accounts to identify root causes and move balances toward resolution.• Prepare and submit corrected claims, reconsiderations, and appeal documentation to support payment recovery.• Manage aging accounts receivable by prioritizing outstanding balances and maintaining production standards established by the department.• Record account activity, payer responses, and collection progress thoroughly within the billing platform.• Work closely with billing, coding, and patient financial services partners to resolve discrepancies affecting claim payment.• Track recurring payer behavior and elevate persistent reimbursement issues when broader action is needed.
2026-10-02T00:00:00Z

Customer Service Billing Specialist

Torrance, CA
onsite
Temporary to Hire
21.85 - 25.3 USD / Hourly
We are looking for a detail-oriented Customer Service Billing Specialist to join a manufacturing team in California in a contract role with the potential to become permanent. This on-site position supports billing accuracy and customer satisfaction by handling credits, refunds, and order-related transactions in a fast-paced environment. The role works closely with accounting, customer service, sales, and distribution to investigate issues, maintain accurate records, and help keep daily operations running smoothly. Responsibilities: • Investigate customer credit and refund requests by gathering details, reviewing transaction history, and coordinating with internal departments to reach accurate resolutions. • Enter and process billing adjustments, credits, and refunds in the company’s billing platform with a high degree of accuracy and timeliness. • Maintain complete and organized records for all billing actions to support compliance, reporting, and audit readiness. • Assist with order entry and related order processing tasks when operational demand requires additional support. • Monitor transaction activity for inconsistencies and escalate recurring billing or order issues to the appropriate team leaders. • Collaborate with accounting, customer service, sales, and distribution teams to resolve customer account questions and improve issue turnaround time. • Verify billing data carefully during high-volume periods to help ensure accurate fulfillment and dependable customer service. • Contribute to efficient daily workflows by identifying errors quickly and supporting corrective action across the order lifecycle.
2026-10-07T00:00:00Z

15 results for Medical Authorizations Specialist in Los Angeles, CA