<p>We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for an Ear, Nose & Throat (ENT) healthcare practice. This remote role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices.</li></ul><p><br></p><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p><p><br></p>
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. <br> The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. <br> Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
We are looking for a skilled Medical Billing Specialist to join our team in Los Angeles, California. This Contract to permanent position offers an exciting opportunity to manage comprehensive billing operations for a multi-specialty healthcare practice, with a focus on Ear, Nose, and Throat services. The ideal candidate will have expertise in claim submission, collections, and patient communications, as well as experience with out-of-network and concierge billing models.<br><br>Responsibilities:<br>• Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections.<br>• Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers.<br>• Conduct quality assurance checks and audits of billing tasks performed by team members.<br>• Handle out-of-network billing and provide support for concierge-model practices.<br>• Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog.<br>• Assist with collections and reimbursement strategies to optimize revenue.<br>• Maintain detailed and accurate billing records, including comprehensive account documentation.<br>• Ensure compliance with payer policies, industry standards, and internal workflows.<br>• Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
<p>A leading hospital in the San Fernando Valley is seeking a dedicated Hospital Medical Billing Collections Specialist to join its team. In this role, you will oversee all aspects of the hospital's billing and collections processes, ensuring timely and accurate reimbursement. You will be responsible for managing billing activities and collections for Medicare managed care, commercial insurance, PPO/HMO, and Medi-Cal managed care accounts. This position requires strong attention to detail, a deep understanding of healthcare billing guidelines, and the ability to work collaboratively with internal departments and insurance payers to resolve outstanding claims.</p><p><br></p><p>Responsibilities:</p><p>• Conduct hospital billing and collection processes with accuracy and efficiency</p><p>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care</p><p>• Provide training for Collector I positions</p><p>• Appeals and denials management.</p><p>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role</p><p>• Oversee the management of insurance correspondence and maintain accurate records</p><p>• Monitor patient accounts and take appropriate action to collect insurance payments.</p>
<p>A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. </p><p><br></p><p>DUTIES AND RESPONSIBILITIES</p><p> -Performs full cycle billing and collection functions for Surgical professional fees</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission</p><p> -Performs all data entry and charge posting functions for surgical services as needed </p><p> -Performs all third party follow-up functions for all products and surgical procedures.</p><p> -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments</p><p> -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p> -Provides the correct ICD-10M code to identify the provider's narrative diagnosis</p><p> -Provides the correct HCPCS code to identify medications and supplies </p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p> - Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons</p>
<p>A Hospital in Los Angeles that is dedicated to highest level of patient care is seeking a Medical Billing Collections Specialist to join its hospital team. This role focuses on ensuring accurate and timely collections of medical claims for acute care facilities, using your expertise in UB-04 claims processing.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Manage and process collections for medical insurance claims, including HMO and PPO plans.</li><li>Handle UB-04 claims for acute care facilities, ensuring claims are completed accurately and timely.</li><li>Follow up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies.</li><li>Communicate effectively with internal departments and external payers to resolve outstanding accounts.</li><li>Ensure compliance with all HIPAA, insurance, and regulatory requirements.</li><li>Maintain accurate records and documentation of claim statuses within systems.</li></ul><p><br></p>
We are seeking an experienced Billing Coordinator to play an integral role in supporting the Firm’s Finance operations. The Billing Coordinator’s key responsibility is to generate, edit and prepare monthly pre-bills and subsequent invoices and appeals for submission to clients accurately and efficiently. This position works closely with the members of the Finance team, as well as Attorneys and Legal Secretaries as needed. The Billing Coordinator must also demonstrate expertise in all facets of the electronic billing function, which may include split and other complex billing arrangements. The position reports to the Firm's Financial Operations Director and will be 100% on-site in West LA<br>Key Responsibilities:<br>• Work with clients, attorneys and staff to generate, distribute, edit, finalize and submit legal bills via various methods<br>• Perform client billing and collection activities for assigned clients in a timely manner<br>• Monitor aging of unbilled fees for assigned partners and/or clients<br>• Resolve billing-related issues with internal and external parties<br>• Coordinate with the other Finance team members to address questions related to the Firm's billing process<br>• Prepare and maintain billing reports, reconciliations, schedules and analyses<br>• Apply retainer funds and process write-offs in accordance with Firm policy<br>• Create new billing formats and handle special projects as requested, including complex billing and client-driven requests<br>Experience & Qualifications:<br>• Bachelor’s degree, preferably in finance, accounting or business administration, or equivalent experience, is preferred<br>• A minimum of 2 years of billing experience in a law firm required<br>• At least one year of billing experience with Aderant Classic is required; experience with Aderant Expert preferred<br>• Ability to read and interpret engagement letters and complicated government contracts to determine and apply client and matter-level rate structures<br>• Must be detail-oriented and have excellent organizational, analytical and problem-solving skill; show great attention to detail while handling a high volume of bills<br>• Must possess outstanding interpersonal skills in order to work effectively within a team environment, as well as independently<br>• Previous experience working directly with attorneys or other licensed professionals in a professional services environment<br>• Strong project management skills with the ability to deliver under tight deadlines.<br>Strong proficiency using Microsoft Office Suite (Word, Excel, Outlook)<br>Must be able to adapt to changing technology<br>The successful candidate must be proactive, customer service oriented, energetic and reliable. As with all Firm positions, impeccable integrity, excellent judgment and sensitivity to others are essential. Enthusiasm, diverse interests and a good sense of humor are also useful and appreciated.
<p>The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments. This role is a Hybrid Remote role. Candidate must live with in Los Angeles County. </p><p>Essential Duties:</p><p>• Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process.</p><p>• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.</p><p>• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.</p><p>• Reverses balance to credit or debit if charges were improperly billed.</p><p>• Contacts insurance carriers as necessary to determine correct payment application.</p><p>• Reviews correspondences related to refunds and or recoupments. Takes the necessary actions such as issuing a refund request or sending a dispute/appeal to the payer.</p><p>• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.</p><p>• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.</p><p>• Communicates issues related to payment posting and refunds from payers to management.</p><p>• Updates correct payer and resubmits claims to the payers.</p><p>• Consistently meets/exceeds productivity and quality standards.</p><p>• Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists.</p><p>• Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances.</p><p>• Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns. Review and resolve self-pay credit balances.</p><p>• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.</p><p>• Special billing and collections for LOAs.</p><p>• Special billing and collections for Case Rates.</p><p>• Special billing and collections for Embassy Services.</p><p>• Performs other related duties as assigned by management team.</p>
<p>A Healthcare Company is seeking an experienced and motivated Medical Insurance Collections Specialist to join our team. This role is ideal for professionals with a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. Bilingual fluency in English and Spanish is required to support our diverse patient and client population.</p><p>Responsibilities:</p><ul><li>Manage accounts receivable and pursue outstanding medical insurance claims from payers</li><li>Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances</li><li>Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements</li><li>Interpret EOBs (Explanation of Benefits) and remittance advice</li><li>Accurately document collection efforts and outcomes in the billing system</li><li>Negotiate payment arrangements and address denials or appeals</li><li>Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices</li></ul><p><br></p>
<p>We are looking for a diligent and detail-oriented Billing / Administrative Support to join our team in Long Beach, California. In this Contract to permanent position, you will play a key role in supporting the billing operations within the Behavioral Health program, ensuring compliance with Department of Mental Health requirements. This is an excellent opportunity to contribute to a dynamic organization in the social care sector while leveraging your administrative and billing expertise.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Assist with billing processes for the mental health component of the Behavioral Health program, ensuring accuracy and timely submissions.</p><p>• Collaborate closely with the Billing Director to meet Department of Mental Health billing standards and deadlines.</p><p>• Maintain and organize sensitive patient information with the highest level of confidentiality.</p><p>• Perform data entry tasks to ensure accurate documentation and record-keeping.</p><p>• Scan and organize files efficiently to support administrative processes.</p><p>• Provide back-office support for billing operations, contributing to a streamlined workflow.</p><p>• Utilize advanced Microsoft Excel skills to manage and analyze billing data effectively.</p><p>• Communicate clearly and professionally in English, both verbally and in writing, to address billing inquiries.</p><p>• Ensure compliance with organizational confidentiality policies when accessing or handling patient information.</p><p><br></p><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>A Medical Organization Company is seeking an experienced and motivated Patient Account Rep to join its Revenue Cycle team. The Patient Account Rep must have a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. The Patient Account Rep must be bilingual in English and Spanish.</p><p><br></p><p>Responsibilities:</p><ul><li>Manage accounts receivable and pursue outstanding medical insurance claims from payers</li><li>Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances</li><li>Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements</li><li>Interpret EOBs (Explanation of Benefits) and remittance advice</li><li>Accurately document collection efforts and outcomes in the billing system</li><li>Negotiate payment arrangements and address denials or appeals</li><li>Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices</li></ul><p>TO APPLY, ONLY send your resume directly to Mike Romero at Mike [dot] Romero [at] RobertHalf [dot] [com]</p>
<p>A Healthcare Company in Van Nuys is in the need of Patient Account Rep. The Patient Account Rep requires a strong background in medical billing and collections, with a focus on managed care and commercial claims. As a Patient Account Rep this role offers a pathway to long-term employment for a detail-oriented individual ready to make a meaningful impact in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Handle hospital billing and collections processes, including inpatient and outpatient claims.</p><p>• Manage the resolution of denied claims and appeals across Medicare, managed care, and commercial insurance providers.</p><p>• Ensure timely and accurate processing of payments within hospital revenue cycles.</p><p>• Collaborate with insurance companies to resolve discrepancies and secure reimbursements.</p><p>• Utilize knowledge of HMO and PPO plans to navigate complex billing scenarios effectively.</p><p>• Provide training and support to entry-level collectors as needed.</p><p>• Conduct thorough account reviews to identify outstanding balances and address payment issues.</p><p>• Maintain compliance with healthcare regulations and billing guidelines.</p><p>• Communicate with patients and providers to clarify billing concerns and payment plans.</p><p>• Prepare detailed reports on collection activities and outcomes for management review.</p>
<p>Ongoing Opportunities for Billing Clerks. As a billing clerk, you will be responsible for processing bills, preparing journal entries of adjustments to billings, communicating with customers regarding billing adjustments. If this sounds like you, please apply today!</p><p>Invoice Generation:</p><p>· Generate and prepare invoices for products or services rendered to customers.</p><p>· Ensure that invoices are accurate, complete, and comply with company policies and customer agreements.</p><p>Data Entry and Accuracy:</p><p>· Enter billing information into the accounting or billing system accurately.</p><p>· Verify and cross-check details such as product or service descriptions, quantities, and pricing.</p><p>Customer Communication:</p><p>· Communicate with customers regarding billing inquiries, discrepancies, and overdue payments.</p><p>· Provide excellent customer service by addressing customer concerns related to billing.</p><p>Payment Processing:</p><p>· Record and process customer payments, including checks, credit card payments, and electronic transfers.</p><p>· Reconcile payments received with the corresponding invoices.</p><p>Record Keeping and Documentation:</p><p>· Maintain organized and detailed records of customer transactions and billing activities.</p><p>· Ensure proper documentation of billing-related communications and resolutions.</p><p>Statement Generation:</p><p>· Generate and distribute periodic statements to customers.</p><p>· Include relevant details such as outstanding balances, due dates, and payment instructions.</p><p><br></p><p><br></p>
<p>A Behavioral Health Company in Long Beach is in the need of a Lead Medical Billing Operations Coordinator. The Lead Medical Billing Operations Coordinator will oversee the daily operations of the billing department and ensure compliance with mental health contract requirements. The Lead Medical Billing Operations Coordinator must have behavioral health experience. </p><p><br></p><p>Responsibilities:</p><p>• Supervise and provide daily guidance to billing staff, ensuring adherence to established procedures.</p><p>• Conduct training, coaching, and performance evaluations for team members, supporting their growth and attention to detail.</p><p>• Review billing documentation and workflows to ensure accuracy and compliance with established protocols.</p><p>• Address claim denials by analyzing monthly revenue reports and implementing corrective measures.</p><p>• Collaborate with Quality Assurance staff to update administrative sections of client files as needed.</p><p>• Process electronic billing efficiently, ensuring clean and accurate claims using available technology.</p><p>• Reconcile billing reports for the Department of Mental Health and Behavioral Health Services, ensuring compliance with agency standards.</p><p>• Partner with the Billing Director to implement new procedures and provide operational feedback.</p><p>• Organize and facilitate departmental meetings and training sessions to improve team performance.</p><p>• Attend required meetings and training sessions to stay updated on internal and external systems relevant to billing operations.</p>