<p>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.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit facility claims for surgical services with careful attention to completeness, accuracy, and payer-specific rules.</p><p>• Review procedure details, patient information, coverage data, and required authorizations before releasing claims for billing.</p><p>• Apply appropriate coding elements, including diagnosis and procedure codes, modifiers, and revenue details, to support proper reimbursement.</p><p>• Enter and reconcile insurance payments, patient payments, adjustments, and other account activity in a timely manner.</p><p>• Analyze remittance documents and explanation of benefits statements to identify denials, short payments, and billing variances.</p><p>• Pursue outstanding receivables by contacting payers, researching account status, and escalating issues affecting reimbursement.</p><p>• Investigate rejected claims and denial trends, then prepare corrected submissions, reconsiderations, or appeals when needed.</p><p>• Monitor aging reports and organize follow-up efforts based on deadlines, claim value, and collection priorities.</p><p>• Communicate with insurance representatives, physician offices, patients, and internal departments to address account questions and resolve discrepancies.</p><p>• Maintain complete billing records while following healthcare privacy standards and current reimbursement regulations.</p>
<p>A Hospital in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The Medical Coder role will focuses on accurate coding for surgical and related outpatient services, helping ensure clean claims, reliable reimbursement, and strong compliance with payer and regulatory standards. The person in the Medical Coder role will work closely with revenue cycle partners, clinical teams, and leadership to resolve coding issues, improve documentation quality, and maintain consistent coding performance. This position is a remote Monday - Friday. CPC or CCS licence is a MUST for consideration. This role is remote Monday - Friday with equipment provided.</p><p><br></p><p>Responsibilities:</p><p>• <u>Orthopedic Surgical Coding, Surgical Abstracting, and MediCal & CCS coding and billing guidelines (Top Requirements) </u></p><p>• Examine surgical charge documentation and clinical records to assign accurate diagnosis, procedure, and modifier codes for billing and reimbursement activities.</p><p>• Validate charge capture details, correct coding discrepancies, and confirm proper linkage between diagnoses and procedures before claims move forward.</p><p>• Apply ICD-10 and CPT coding standards to surgical and designated diagnostic cases, including review of complex encounters requiring careful interpretation.</p><p>• Manage daily claim and coding work queues, monitor ticket volume, and help maintain timely and accurate claim submission processes.</p><p>• Review scanned charge documents for completeness and coding accuracy, escalating unusual or high-risk issues when necessary.</p><p>• Support reporting and trend analysis by tracking coding errors, identifying recurring issues, and sharing findings with management for process improvement.</p><p>• Collaborate with revenue cycle staff, physicians, clinicians, and departmental leadership to address questions, resolve escalations, and strengthen coding quality.</p><p>• Maintain working knowledge across multiple specialties and remain current on payer rules, Medi-Cal guidance, CCS, Medicare requirements, and other compliance expectations.</p><p>• Participate in audits, department meetings, and ongoing education activities while assisting with coding records management and other assigned duties.</p><p><br></p><p>TO APPLY, ONLY send resume directly to Mike Romero at Mike [dot] Romero [at] RobertHalf [dot] [com]</p>
<p>A Hospital system in Los Angeles is looking for an experienced Revenue Cycle Coding Manager. The Revenue Cycle Coding Manager will lead coding and charge capture performance, guide operational oversight, and partner with clinical and compliance stakeholders to strengthen accuracy, productivity, and reimbursement outcomes. The ideal Revenue Cycle Coding Manager candidate must bring deep knowledge of revenue cycle operations, medical coding standards, and team leadership within a fast-paced healthcare environment. This is a hybrid remote role Monday - Friday with equipment provided. </p><p><br></p><p>Responsibilities:</p><p>• Direct daily coding operations by assigning work, reviewing team output, and ensuring tasks are completed accurately, efficiently, and in alignment with established procedures.</p><p>• Analyze weekly and monthly performance results using key operational and quality indicators, then present trends and improvement opportunities to senior leadership.</p><p>• Supervise coding work queues and charge capture activity to confirm diagnosis, procedure, and billing details are properly documented and coded.</p><p>• Ensure urgent coding requests are prioritized and completed within required turnaround expectations.</p><p>• Partner with physicians, surgeons, and clinical leadership to address coding questions, resolve workflow issues, and escalate concerns when broader intervention is needed.</p><p>• Coordinate with compliance and coding leadership to support audits, communicate findings, implement corrective actions, and reinforce timely staff education.</p><p>• Lead team meetings, provide coaching on complex coding scenarios, and promote consistent adherence to departmental policies and quality standards.</p><p>• Oversee updates to charge documents, procedure listings, and code requests while supporting coding system conversions and related operational changes when required.</p><p>• Monitor regulatory updates, payer guidance, and industry developments, and communicate relevant coding changes to internal stakeholders.</p><p>• Conduct quality reviews, operational studies, and other assigned analyses to improve coding accuracy, team performance, and revenue cycle effectiveness.</p>
<p>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.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and transmit clean claims to insurance carriers and government programs in a timely manner to support consistent cash flow.</p><p>• Review outstanding accounts and take proactive steps to collect payment on unpaid, denied, or partially reimbursed claims.</p><p>• Analyze accounts receivable aging and prioritize follow-up activities to reduce open balances and improve resolution times.</p><p>• Research claim edits, rejections, and denials, then complete corrections, resubmissions, or appeals as appropriate.</p><p>• Enter payments, contractual adjustments, and denial information accurately within the billing records.</p><p>• Communicate with health plans, patients, and internal team members to clarify billing questions and move accounts toward resolution.</p><p>• Ensure billing activity aligns with payer rules, regulatory standards, and established organizational procedures.</p><p>• Assist with broader revenue cycle tasks such as claim review, payment balancing, account investigation, and detailed documentation of collection efforts.</p>
<p>An Ambulatory Surgery Center in Los Angeles is in the need of a Medical Biller/Collections Specialist. This Medical Biller/Collections Specialist is ideal for someone who understands the full revenue cycle and can confidently manage claims, denials, and payer follow-up for surgical services. The right candidate for the Medical Biller/Collections Specialist role will bring healthcare billing experience, strong insurance knowledge, and the ability to keep accounts moving toward timely reimbursement.</p><p><br></p><p>Responsibilities:</p><p>• Manage end-to-end billing and collections activities for surgical services, from charge review through payment follow-up.</p><p>• Confirm patient coverage, authorization details, and payer information using available electronic records and insurance carrier resources before claims are submitted.</p><p>• Enter billing data and post charges accurately for surgical cases while maintaining complete and organized account documentation.</p><p>• Pursue outstanding third-party balances by conducting regular follow-up with commercial and government payers across multiple plan types.</p><p>• Investigate explanation of benefits, identify denial causes, correct claim issues, and resubmit claims to support reimbursement.</p><p>• Monitor assigned claim queues and worklists each day to address unresolved accounts, aging items, and billing exceptions in a timely manner.</p><p>• Review provider documentation, including urgent care and surgical records, to ensure charges are supported and billing can proceed accurately.</p><p>• Apply appropriate diagnosis, procedure, medication, and supply codes based on clinical documentation and operative reports completed by providers.</p><p>• Examine aged accounts and unresolved payer responses to resolve denials, appeals, and collection issues efficiently.</p>
<p>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.</p><p><br></p><p>Responsibilities:</p><p>• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.</p><p>• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.</p><p>• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.</p><p>• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.</p><p>• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.</p><p>• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.</p><p>• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.</p><p>• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.</p><p>• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.</p>
<p>A Hospital in Los Angeles is seeking an experienced Medical Insurance Collections Specialist to join its revenue cycle team. The Medical Insurance Collections Specialist role will focus on insurance follow-up and collections for HMO and PPO payers, with an emphasis on resolving outstanding balances, researching claim issues, and securing timely reimbursement. The ideal candidate for the Medical Insurance Collections Specialist role will also have experience working with UB04 claims in a hospital setting. </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform insurance collections follow-up on outstanding hospital claims with a focus on HMO and PPO payers. </li><li>Contact insurance companies and payers to obtain claim status, secure payment, and resolve unpaid or underpaid accounts. </li><li>Review and work hospital UB04 claims to ensure accurate billing and proper reimbursement..</li><li>Investigate and resolve claim denials, rejections, underpayments, and payment delays. </li><li>Submit corrected claims, supporting documentation, and appeals as needed to facilitate payment resolution. </li><li>Follow up on aged accounts receivable and maintain productivity in line with departmental goals. </li><li>Document all collection activity, account updates, and payer communications in the billing system.</li><li>Collaborate with billing, coding, and patient financial services teams to resolve claim discrepancies and improve reimbursement outcomes. </li><li>Monitor payer trends and escalate recurring issues impacting collections. </li></ul><p><br></p><p><strong>Qualifications:</strong></p><ul><li>3+ years of experience in medical insurance collections, insurance follow-up, or healthcare accounts receivable..</li><li>Hospital billing or collections experience required. </li><li>Strong knowledge of HMO and PPO insurance plans, payer guidelines, and reimbursement processes. </li><li>Experience working with UB04 claims required. </li><li>Familiarity with denial management, appeals, and claim resolution processes</li><li>Strong attention to detail, organizational skills, and ability to manage a high-volume workload..</li><li>Excellent communication and problem-solving skills..</li><li>Proficiency with hospital billing systems and electronic medical records preferred.</li></ul>
<p>A nationally recognized Hospital in Los Angeles is in the immediate need of a Medical Collector II. The Medical Collector II must be well versed with insurance collections preferably from Medi-Cal/Medicaid and CCS (California Children’s Services). The Medical Collector II is responsible for analyzing denied claims and appeal accordingly. The Medical Collector II also performs a variety of duties which may include answering in-coming telephone calls, documenting insurance information, verification of eligibility and billing/appealing claims to the various insurance carriers. This position is responsible for handling patient accounts in a high-performance team environment with a number of additional duties as needed for operational needs. </p><p><br></p><p><strong>This position is a Hybrid / Remote role requiring an employee to come in office 1 day per week. </strong></p><p><br></p><p>Essential Duties: </p><p>• Reviews claims to ensure all key components were submitted accurately to the correct payer. </p><p>• Review Medi-Cal/Medicaid and CCS (California Children’s Services) claims. </p><p>• Reviews correspondence and denial information to determine why claims have not been paid and takes appropriate actions to ensure the accurate and timely submission of claims. </p><p>• Researches and analyzes accounts and payments to determine whether charges were billed properly, and to resolve incorrect information on patient accounts; reverses balance to credit or debit if charges were improperly billed. </p><p>• Corrects and resubmits claims and identifies issues that require attention. Makes all the appropriate corrections in the system and submits appeals as appropriate, following </p><p>individual payer guidelines and including all supporting documentation. </p><p>• Contacts insurance companies and or patient/guarantor to verify insurance eligibility and resolve payment problems; provides information to expedite collection process. </p><p>• Prepares adjustments for charges which cannot be billed and processes or submits to the supervisor per adjustment guidelines. </p><p>• Ensures authorization, TARs/SARs are included in claim submissions to payers and follows appropriate steps to secure the authorization/retro authorization. </p>
<p>A healthcare company is looking for an experienced <strong>Credentialing Specialist</strong> 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.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><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><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
<p>A healthcare organization in Long Beach, California is seeking an experienced <strong>Credentialing Specialist</strong> to support core credentialing and provider data operations. This role 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.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><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><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
<p>We are looking for a friendly and organized Medical Receptionist to support daily front-desk operations in Torrance, California. This Contract Medical Receptionist is ideal for someone who enjoys helping patients, managing administrative tasks, and creating a welcoming experience in a busy healthcare setting. The person in this role will handle appointment coordination, patient intake support, and routine office activities while maintaining accuracy and professionalism throughout each interaction. Apply to become a Medical Receptionist today!</p><p><br></p><p>Responsibilities:</p><p>• Welcome patients and visitors, provide courteous assistance, and guide them to the appropriate clinic areas or team members.</p><p>• Review patient demographic details and insurance information for accuracy, and assist with collecting required copays or other front-desk payments.</p><p>• Support the check-in process by distributing forms, gathering completed documents, and ensuring required paperwork is properly handled.</p><p>• Track missed visits and schedule changes, then promptly communicate no-shows and cancellations to the appropriate clinical support staff.</p><p>• Arrange return visits and outreach to patients by phone to confirm upcoming appointments and help maintain schedule readiness.</p><p>• Manage incoming calls, respond to routine front-office questions, and direct inquiries to the correct department when needed.</p><p>• Carry out general administrative and clerical tasks that keep reception and patient-facing operations running smoothly in a high-volume environment.</p>
<p>A healthcare company is looking for a <strong>Medical Receptionist</strong> to support a non-profit residential treatment program in Los Angeles, California. This Medical Receptionist position is suited for someone who brings professionalism, sound judgment, and a compassionate approach to front-desk operations in a sensitive care setting. The Medical Receptionist will create a welcoming experience for visitors and clients while handling confidential information with discretion and maintaining respectful boundaries in daily interactions.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Welcome clients, visitors, and staff in a courteous manner and serve as the first point of contact for the facility.</p><p>• Coordinate appointment calendars, manage patient scheduling needs, and help keep the front office running smoothly throughout the day.</p><p>• Handle patient check-in procedures accurately, confirm basic information, and direct individuals to the appropriate staff or service area.</p><p>• Answer incoming calls, respond to routine front-desk inquiries, and relay messages promptly and professionally.</p><p>• Maintain organized reception and administrative records while safeguarding sensitive information in accordance with confidentiality standards.</p><p>• Support general medical front office tasks such as filing, document preparation, and routine clerical assistance for the care team.</p><p>• Communicate with individuals from diverse backgrounds in a calm, respectful, and nonjudgmental manner within a residential behavioral health environment.</p><p><br></p><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>