We are looking for a proactive and detail-focused Medical Office Coordinator to oversee front desk operations and administrative tasks at our medical offices in Chino, California. This Contract to permanent position requires flexibility to work across multiple locations, ensuring seamless office functionality and exceptional patient experiences. If you thrive in a dynamic healthcare environment and enjoy coordinating diverse responsibilities, we encourage you to apply.<br><br>Responsibilities:<br>• Oversee daily office operations, including scheduling, managing call-offs, and organizing staff onboarding and training.<br>• Process and manage insurance authorizations, billing inquiries, and Explanation of Benefits (EOBs).<br>• Coordinate staff schedules to optimize coverage and maintain efficient workflows.<br>• Ensure adherence to office policies and procedures, fostering a detail-focused and productive environment.<br>• Serve as a liaison between administrative and medical staff to address operational needs and improve processes.<br>• Handle receptionist duties, including answering inbound calls and managing a multi-line phone system.<br>• Provide concierge-level support to patients, ensuring their needs are met promptly and professionally.<br>• Monitor and address insurance-related issues to streamline patient billing and claims processes.<br>• Participate in recruiting efforts for new staff and assist with their onboarding and training.
Are you a highly organized detail oriented with exceptional customer service skills? Do you thrive in fast-paced environments and enjoy working in healthcare? If so, we have an exciting opportunity for you to join our team as a Medical Front Office Specialist! <br> Job Responsibilities: As a Medical Front Office Specialist, your primary responsibilities will include: Welcoming and checking in patients, ensuring all necessary documentation is complete and accurate. Managing appointment scheduling and handling incoming calls with professionalism and courtesy. Verifying insurance information, collecting payments, and updating patient accounts in accordance with office policies. Collaborating with healthcare providers and administrative staff to maintain efficient office operations. Ensuring confidentiality and compliance with HIPAA regulations.
<p>We are looking for a dedicated and bilingual Armenian Medical Receptionist to join our team in Glendale, California. This Contract-to-Permanent position is ideal for someone passionate about providing exceptional administrative support in a healthcare setting while ensuring a smooth patient experience. If you thrive in a dynamic, fast-paced environment and enjoy working directly with patients and clinical staff, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Welcome patients and visitors warmly, providing assistance in both English and Armenian.</p><p>• Verify insurance details, process copayments, and ensure all required patient documentation is accurate and complete.</p><p>• Manage patient check-in and check-out processes, maintaining precise data entry in the system.</p><p>• Coordinate with clinical staff to optimize workflow and ensure timely patient service.</p><p>• Handle requests for medical records, scan documents, and maintain organized filing systems.</p><p>• Provide general administrative support, including managing correspondence, faxing, and tracking office supplies.</p><p>• Uphold patient confidentiality and adhere to healthcare compliance regulations.</p><p>• Assist in scheduling appointments and managing patient inquiries efficiently.</p><p>• Ensure the reception area is organized and welcoming to all visitors.</p><p>• Address patient concerns and escalate issues when necessary to maintain satisfaction.</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><br></p>
<p>We are looking for a detail-oriented Medical Revenue Cycle Associate to join our team our team in Los Angeles, California. The Medical Revenue Cycle Associate will play a critical part in optimizing the medical billing and collections process within the healthcare industry. Your expertise will help ensure claims are processed efficiently and payments are collected accurately.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to verify accuracy and completeness before forwarding them to the appropriate payer.</p><p>• Medical Insurance collections and denials management.</p><p>• Analyze denial information and correspondence to identify reasons for unpaid claims, taking action to resolve issues and resubmit claims promptly.</p><p>• Investigate patient accounts and payment records to confirm proper billing and rectify discrepancies, adjusting balances as necessary.</p><p>• Prepare and submit corrections or appeals for rejected claims, adhering to payer-specific guidelines and including all required documentation.</p><p>• Process adjustments for charges that cannot be billed, ensuring compliance with established adjustment protocols.</p><p>• Verify that required authorizations, TARs/SARs, are included in claim submissions, and take steps to secure missing authorizations when needed.</p><p>• Maintain productivity and quality standards by consistently meeting deadlines and accuracy requirements.</p><p>• Collaborate with team members and supervisors to address complex billing issues and improve workflows.</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>A prestigious healthcare non-profit organization is seeking a talented Medical Revenue Cycle Director to join their organization. The revenue cycle director will be responsible for managing a team of 6 that will support billing, collections, and coding operations for their facilities that include outpatient, urgent cares, and ambulatory surgery centers. The revenue cycle director will implement productivity metrics, KPI's, and assist in creating automated processes for their department. The revenue cycle director will implement and maintain policies and procedures for the department.</p><p><br></p><p>Responsibilities</p><ul><li>5+ years of revenue cycle leadership experience from both a professional and facility setting.</li><li>This position is accountable for the development, operations, and optimization their ambulatory surgery center and urgent care processes within Revenue Cycle</li><li>Manage a team of 6 and responsible for implementing change management initiatives and policies and procedures throughout the enterprise system.</li><li>Partners with the system level leadership on Revenue Cycle process improvement, training, technology innovation, analytics, compliance, and vendor management</li><li>Audit Ambulatory Surgery Center and Factor charges to ensure accuracy and appropriateness. Ensures that any errors identified by coder are corrected and pre-scrubbed in a timely manner to ensure clean claims.</li><li>Bachelor’s degree is a plus and systems experience with EPIC or Athena is preferred.</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>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 currently seeking a detail-oriented and empathetic <strong>Hospital Admissions Specialist</strong> to join our team. This role is vital in ensuring patients feel supported from their very first interaction with us, setting the stage for exceptional care.</p><p><strong>Responsibilities:</strong></p><p>As a <strong>Hospital Admissions Specialist</strong>, you will:</p><ul><li>Welcome patients and their families with professionalism and care, serving as the first point of contact upon arrival.</li><li>Gather, verify, and record patient information, including demographics, insurance details, and medical history.</li><li>Ensure data entry accuracy within the hospital's electronic medical record (EMR) system.</li><li>Obtain signatures for consent forms, assignments of benefits, and other necessary documentation.</li><li>Verify insurance eligibility and explain financial responsibilities, including co-pays or prepayments.</li><li>Coordinate with clinical and administrative teams to ensure a seamless admissions process.</li><li>Answer incoming inquiries and provide clear communication regarding hospital policies, procedures, and patient instructions.</li><li>Maintain compliance with HIPAA and patient confidentiality regulations.</li><li>Assist with appointment scheduling and follow-up communication as needed.</li></ul><p><br></p>
We are currently seeking a dedicated and detail-oriented Onboarding Specialist to join our Human Resources or Talent Acquisition team. This role plays a critical part in creating an outstanding employee experience by ensuring new hires feel welcomed, informed, and fully prepared to embark on their employment journey with us. <br> Key Responsibilities: Coordinate and manage the onboarding process for new employees, including pre-employment documentation, orientation schedules, and training plans. Serve as the key point of contact for new hires, addressing onboarding questions and ensuring a smooth transition into the hospital's work environment. Collaborate with HR, department managers, and compliance teams to ensure all pre-employment requirements (e.g., health screenings, certifications, background checks) are completed on time. Develop and enhance onboarding materials, such as welcome packets, presentations, and checklists, to improve efficiency and consistency. Facilitate orientation programs to familiarize new employees with the hospital's mission, vision, policies, and culture. Partner with IT and Facilities to organize access to necessary tools, systems, and workspace for new hires. Collect feedback from new employees and departments to evaluate and improve the onboarding process. Maintain accurate employee records in compliance with hospital policies and regulations. Promote hospital initiatives, such as employee engagement activities, career development opportunities, and wellness programs.
<p>We are seeking an organized and detail-oriented <strong>Surgery Scheduler</strong> to join our team and help us in improving patient outcomes.</p><p><strong>Responsibilities:</strong></p><p>As a <strong>Surgery Scheduler</strong>, you will be responsible for:</p><ul><li>Coordinating and scheduling surgeries, procedures, and any pre-operative testing for patients in collaboration with surgeons and other healthcare providers.</li><li>Communicating surgery dates, times, and instructions to patients and their families in a clear, compassionate manner.</li><li>Verifying and documenting insurance authorizations and ensuring all necessary approvals are obtained prior to procedures.</li><li>Managing and maintaining the surgery scheduling calendar for multiple surgeons and ensuring minimal conflicts or delays.</li><li>Acting as a liaison between surgical departments, physicians, anesthetists, and patients to streamline the surgical process.</li><li>Answering phone inquiries related to surgeries, providing patient guidance, and addressing concerns as needed.</li><li>Accurately inputting surgery details into electronic medical record (EMR) systems and other scheduling software.</li><li>Ensuring compliance with all hospital or clinic guidelines, policies, and procedures.</li></ul><p><br></p>
<p>We are currently seeking a dedicated <strong>Medical Call Center Representative</strong> to join our dynamic and fast-paced call center team.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As a <strong>Medical Call Center Representative</strong>, you will:</p><ul><li>Serve as the first point of contact for patients, answering inbound calls and addressing inquiries with professionalism and empathy.</li><li>Schedule medical appointments and accurately enter patient information into electronic medical records (EMR) systems.</li><li>Assist patients with understanding healthcare provider availability, appointment procedures, and pre-visit requirements.</li><li>Handle high call volumes and prioritize urgent calls effectively while maintaining excellent customer service.</li><li>Verify insurance information and provide basic details about billing or co-payments.</li><li>Resolve questions and concerns with patience and support, or escalate advanced matters to clinical staff when necessary.</li><li>Provide follow-up calls to confirm appointments, relay test results (when applicable), or provide reminders.</li><li>Ensure compliance with HIPAA regulations regarding patient confidentiality.</li></ul><p><br></p>
<p>The Patient Biller will be responsible for managing insurance billing, resolving denials, and submitting accurate claims using UB04 forms to ensure timely payment and compliance. This role is critical to supporting the hospital's revenue cycle operations and maintaining first-class patient experience.</p><p><strong>Primary Responsibilities:</strong></p><ul><li>Review, prepare, and submit claims using proper UB04 forms.</li><li>Analyze and resolve insurance denials by researching claim discrepancies and reprocessing claims when necessary.</li><li>Communicate with insurance payers to ensure accurate reimbursement and address claim inquiries.</li><li>Collaborate with the billing and collections team to meet monthly revenue goals.</li><li>Maintain compliance with all federal, state, and organizational policies regarding billing and insurance protocols.</li><li>Deliver timely updates to supervisors regarding claim statuses, trends in denials, and payer-specific issues.</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>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>
A Hospital located in the San Fernando Valley is looking to add a Hospital Patient Account Rep to the team. The Hospital Patient Account Rep will be responsible for overseeing billing and collection processes within a hospital setting. The Hospital Patient Account Rep will also be responsible for managing Medicare managed care, commercial, PPO/HMO and Medical managed care.<br><br>Responsibilities:<br>• Conduct hospital billing and collection processes with accuracy and efficiency<br>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care<br>• Provide training for Collector I positions<br>• Appeals and denials management.<br>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role<br>• Oversee the management of insurance correspondence and maintain accurate records<br>• Monitor patient accounts and take appropriate action to collect insurance payments.
We are looking for an experienced Office Manager to oversee the operations of a pediatric pulmonary and immunology division based in Long Beach, California. This position involves managing clinical and administrative processes across multiple outpatient specialty centers and a hospital-based program. As a long-term contract role, the ideal candidate will play a key part in driving operational efficiency, fostering business growth, and ensuring high-quality patient care.<br><br>Responsibilities:<br>• Oversee daily administrative operations for outpatient specialty centers and hospital programs.<br>• Manage and maintain office supplies, ensuring seamless availability for staff needs.<br>• Handle accounts payable processes accurately and efficiently.<br>• Coordinate credentialing and hospital privileges for physicians and clinical staff.<br>• Lead recruitment, training, and performance management initiatives for office and clinical personnel.<br>• Collaborate with physicians, hospital administration, and external stakeholders to optimize operational workflows.<br>• Monitor financial performance metrics and implement strategies to improve efficiency.<br>• Develop and execute marketing and business development initiatives to expand the division.<br>• Maintain a welcoming and organized reception area, ensuring excellent patient and visitor experiences.<br>• Establish benchmarking standards to measure and enhance operational performance.
<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>Join us as a <strong>Patient Registration Specialist</strong> and play a critical role in creating a welcoming environment and supporting our mission of delivering outstanding healthcare services.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As a <strong>Patient Registration Specialist</strong>, you will be responsible for:</p><ul><li>Greeting patients professionally and compassionately upon arrival.</li><li>Collecting and verifying patient demographics, insurance information, and personal data.</li><li>Entering patient details into the electronic medical record (EMR) system with a high degree of accuracy.</li><li>Communicating co-pay amounts and processing payments as needed.</li><li>Answering phones, supporting patient inquiries, and scheduling appointments.</li><li>Ensuring compliance with HIPAA guidelines and maintaining patient confidentiality.</li></ul><p><br></p>
<p>We are looking for an experienced Office Manager to join our team in Los Angeles, California. In this Contract-to-Permanent position, you will oversee the operations of the front office for a healthcare practice, ensuring smooth workflow, staff coordination, and exceptional patient service. This role offers the opportunity to contribute to a meaningful mission in cancer care while driving efficiency and compliance in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Supervise and coordinate the daily operations of the front office across multiple clinic locations.</p><p>• Monitor front office activities, including patient data intake, record management, and compliance with medical documentation standards.</p><p>• Provide training and coaching to front office staff, ensuring adherence to policies and procedures.</p><p>• Conduct regular staff meetings, manage schedules, and approve hours for payroll processing.</p><p>• Lead recruitment efforts and oversee performance reviews for front office employees.</p><p>• Address patient concerns and complaints, ensuring resolution and satisfaction.</p><p>• Develop and track productivity metrics to assess and improve front office operations.</p><p>• Implement best practices to enhance efficiency and streamline processes.</p><p>• Ensure compliance with regulations regarding the handling and release of protected health information.</p><p>• Collaborate with other departments to optimize workflow and communication.</p>
<p>Robert Half Management Resources is recruiting for a strong Director of Finance to support our growing Healthcare client in West Hollywood on a 3–4-month on-site engagement supporting the core financial functions. This role oversees budgeting, reporting, vendor and expense management, commission calculations, cash flow forecasting, banking relationships, insurance policies, and AR/AP operations. The Director of Finance will work closely with executive leadership and departmental heads to enhance financial discipline, support growth initiatives, and drive ROI-focused decision-making. The Director of Finance will combine technical financial expertise with operational fluency, clear communication, and the ability to manage multiple priorities.</p><p><br></p><p>Responsibilities:</p><p>Financial Reporting and Oversight</p><ul><li>Lead the monthly financial close process, prepare detailed financial reports, and conduct variance analyses for budget-to-actual performance.</li><li>Maintain and enhance weekly reporting systems, including cash flow status, revenue tracking, and expense management.</li><li>Monitor daily sales and revenue data in collaboration with operations and marketing teams.</li></ul><p>Cash Management and Forecasting</p><ul><li>Manage daily cash flow and provide rolling forecasts aligned with operating budgets and business initiatives.</li><li>Identify cash needs and support strategic decisions around capital allocation and liquidity planning.</li><li>Manage banking relationships, accounts, transfers, and reporting to ensure optimal structure and service.</li></ul><p>Budgeting, Forecasting and Financial Planning</p><ul><li>Own the annual budgeting process and rolling reforecasts.</li><li>Develop financial models and scenario analyses to support strategic growth, acquisitions, and operational decisions.</li><li>Conduct ROI analysis for capital expenditures, new initiatives, and vendor relationships.</li></ul><p>Commission Calculations</p><ul><li>Take full ownership of bi-weekly commission calculations, ensuring accuracy and timely payout in coordination with HR and payroll teams.</li><li>Maintain and refine commission structures as needed based on business priorities.</li></ul><p>Vendor and Expense Management</p><ul><li>Review all vendor invoices and recurring expenses for necessity, contractual compliance, and cost efficiency.</li><li>Identify cost-saving opportunities and lead periodic vendor and subscription audits.</li><li>Develop spending discipline across departments by implementing structured approval workflows.</li></ul><p>AR / AP Oversight</p><ul><li>Oversee AR/AP team functions, ensuring accuracy, timely billing, collections, and disbursements.</li><li>Ensure proper controls and reconciliations are in place to reduce errors and fraud risk.</li><li>Serve as escalation point for vendor disputes, overdue receivables, and payment prioritization.</li></ul><p>Cross-functional Collaboration and Special Projects</p><ul><li>Assist with due diligence, integration planning, and financial modeling for acquisitions and expansion.</li><li>Recommend and implement tools to improve reporting automation and financial visibility.</li></ul>
<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 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 Claims Intake Coordinator to join our team in Ontario, California. This long-term contract position involves supporting the claims processing team by ensuring accurate intake, sorting, and preparation of medical claims for further handling. The role is vital in maintaining efficient workflows and providing support to healthcare providers across various regions.</p><p><br></p><p>Responsibilities:</p><ul><li>Open, sort, prioritize, batch, log, and track all incoming claims mail.</li><li>Distribute claims according to market, priority, appeal status, scanning need, and health plan risk.</li><li>Ensure all claims received are complete and ready for processing.</li><li>Route unclean claims back to providers for correction.</li><li>Forward out-of-state claims to the appropriate health plan for handling.</li><li>Run the Claims Fallout process and distribute Fallout Worksheets via email to relevant departments.</li><li>Assist with the distribution of checks (match checks with Explanation of Benefits, fold, and insert into correct envelopes).</li><li>Match remittance advices with checks and prepare mailing.</li><li>Reconcile processed batches within the audit database.</li><li>Create denial trailers and mail denial letters accordingly.</li></ul>
