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. <br>Essential Duties:<br>• 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.<br>• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.<br>• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.<br>• Reverses balance to credit or debit if charges were improperly billed.<br>• Contacts insurance carriers as necessary to determine correct payment application.<br>• 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.<br>• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.<br>• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.<br>• Communicates issues related to payment posting and refunds from payers to management.<br>• Updates correct payer and resubmits claims to the payers.<br>• Consistently meets/exceeds productivity and quality standards.<br>• 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.<br>• 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.<br>• 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.<br>• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.<br>• Special billing and collections for LOAs.<br>• Special billing and collections for Case Rates.<br>• Special billing and collections for Embassy Services.<br>• Performs other related duties as assigned by management team.
<p>Robert Half is looking for a skilled Liability Claims Coordinator to join our client in Santa Ana, California. In this long-term contract position, you will play a vital role in managing liability claims, ensuring accurate documentation, and providing essential administrative support. This position is fully on-site with a unique schedule of 6am-3pm. </p><p><br></p><p>Responsibilities:</p><p>• Manage liability claims efficiently, ensuring proper documentation and timely processing.</p><p>• Perform detailed data entry to maintain accurate records and track case progress.</p><p>• Collaborate with internal teams to support auto defense and workers compensation claims.</p><p>• Conduct intake calls and gather information from clients.</p><p>• Monitor claim statuses and follow up as needed to ensure resolution.</p><p>• Analyze claims data to identify trends and improve processes.</p><p>• Maintain compliance with legal and organizational standards throughout the claims process.</p>
<p>A National Healthcare Organization is in the need of a Medical Revenue Cycle Analyst to join its healthcare finance team. The Medical Revenue Cycle Analyst will be responsible for analyzing and improving revenue cycle processes, ensuring the organization's financial health while minimizing inefficiencies. This role requires strong analytical skills, healthcare billing knowledge, and the ability to collaborate across departments to optimize performance. If you're passionate about healthcare finance and thrive in a data-driven environment, we encourage you to apply.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Perform data analysis to identify trends, issues, and opportunities for improvement within the revenue cycle processes, including billing, coding, collections, and reimbursements.</li><li>Maintain and analyze financial and operational performance metrics related to claims processing, denial management, and payment posting.</li><li>Collaborate with cross-functional teams, such as billing and collections, to streamline processes and improve revenue cycle operations.</li><li>Research industry regulations and payer policies to ensure compliance and optimize reimbursements.</li><li>Provide regular reporting to department leaders on revenue cycle performance, including key performance indicators (KPIs).</li><li>Support system upgrades and technology implementation to enhance revenue cycle efficiency.</li><li>Identify and resolve discrepancies in payments or coding to reduce denials and delays in reimbursements.</li><li>Conduct root cause analysis for claim denials and develop strategies for resolution.</li><li>Participate in budgeting and forecasting to align revenue cycle goals with financial strategies.</li><li>Working knowledge of Epic Software.</li><li>CPC or CCS license is a plus but not a must. </li></ul>
<p>The Medical Biller & Collections Specialist is responsible for managing the full revenue cycle process to ensure timely and accurate reimbursement for services rendered. This role supports the financial health of the organization by overseeing insurance billing, payment posting, and patient account follow-up while maintaining strict compliance with healthcare regulations.</p><p><br></p><p>The specialist prepares, submits, and monitors insurance claims to commercial payers, Medicaid, and other applicable programs, ensuring claims are accurate, complete, and compliant with payer requirements. They research and resolve denied or underpaid claims, submit appeals when necessary, and communicate effectively with insurance companies to secure proper reimbursement.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Submit, review, and track medical claims for timely reimbursement</li><li>Post insurance and patient payments accurately</li><li>Investigate and resolve claim denials, rejections, and underpayments</li><li>Submit appeals and supporting documentation as required</li><li>Manage patient balances, collections, and payment plans</li><li>Communicate with insurance carriers and patients regarding billing inquiries</li><li>Maintain accurate billing records and documentation</li><li>Ensure compliance with HIPAA and payer guidelines</li></ul>
<p>A Hospital in Los Angeles is in the need of a Medical Billing Support Services Associate to join its healthcare team in Los Angeles. In this role, the Medical Billing Support Services Associate will play a crucial part in ensuring the accurate processing of cash receipts, managing patient eligibility reviews, and resolving recoupment statuses. The Medical Billing Support Services Associate must have strong background in medical billing and a commitment to excellence.</p><p><br></p><p>Responsibilities:</p><p>• Process cash receipts from both automated and manual payers, ensuring compliance with established procedures.</p><p>• Research and analyze unposted or unapplied cash to facilitate timely resolution and posting.</p><p>• Investigate unapplied cash receipts and escalate issues to supervisors when necessary.</p><p>• Reverse balances and adjust credits or debits to correct billing errors and payment applications.</p><p>• Review correspondence related to refunds or recoupments, taking appropriate actions such as issuing refund requests or submitting disputes.</p><p>• Evaluate credit balances and issue refunds to payers in an accurate and timely manner.</p><p>• Collaborate with Finance and other Revenue Cycle departments to streamline cash posting, balancing, and reconciliation processes.</p><p>• Address issues related to payment postings or refunds and communicate updates to management.</p><p>• Cross-train in billing processes, including charge entry, insurance eligibility verification, and resolving billing edits.</p><p>• Assist with special projects assigned by leadership, such as audits, payer compliance reviews, and case-specific billing and collections.</p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement. </p>
We are looking for a skilled Case Manager to join our team in Encino, California. In this role, you will oversee multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a dynamic work environment and opportunities for growth.<br><br>Responsibilities:<br>• Manage multiple pre-litigation cases, ensuring timely and effective resolution.<br>• Supervise and guide entry-level case managers in their daily tasks and responsibilities.<br>• Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.<br>• Coordinate property damage and loss of use claims, ensuring proper resolution.<br>• Identify healthcare providers and schedule medical appointments for injury treatment.<br>• Advocate for clients by monitoring their medical treatment and arranging necessary care based on provider recommendations.<br>• Review, analyze, and interpret medical records, surgical reports, and medical bills.<br>• Prepare case files and documentation for submission to the demands department.<br>• Communicate effectively with clients, healthcare providers, and internal staff to maintain a high level of service.
<p><strong>About the Opportunity</strong></p><p>A Newport Beach–based boutique law firm is seeking an experienced Litigation Attorney to join a sophisticated practice focused on high-stakes commercial and fiduciary disputes. The firm represents clients in matters involving sensitive financial, governance, and reputational issues.</p><p>Attorneys are expected to be deeply involved in both legal strategy and execution, with meaningful courtroom and client exposure.</p><p><br></p><p><strong>Representative Matters</strong></p><ul><li>Shareholder, partnership, and control disputes</li><li>Trust, estate, and fiduciary litigation</li><li>Financial elder abuse and asset recovery actions</li><li>Breach of fiduciary duty and fraud claims</li><li>Business tort and unfair competition matters</li></ul><p><strong>Responsibilities</strong></p><ul><li>Lead discovery strategy, including drafting and responding to discovery and managing document-intensive cases</li><li>Take and defend depositions of parties, fiduciaries, and experts</li><li>Draft complex pleadings, demurrers, motions to dismiss, and summary judgment motions</li><li>Prepare cases for mediation, arbitration, and trial</li><li>Examine witnesses and assist in trial presentation</li><li>Advise clients on litigation risk, strategy, and resolution options</li><li>Collaborate closely with partners on case strategy and client management</li></ul>
<p>Our team is seeking a Medical Insurance Collections Specialist with prior hospital experience to join a dynamic healthcare organization. In this role, you will play a critical part in maximizing hospital revenue by managing insurance denials, processing appeals, and handling collections related to HMO/PPO insurance claims. A strong understanding of UB-04 billing practices is required.</p><p>Key Responsibilities:</p><ul><li>Review and analyze insurance denials and identify appropriate action steps for appeal or resubmission.</li><li>Prepare and submit timely, thorough appeals using clinical and financial data.</li><li>Navigate and resolve issues related to HMO/PPO insurance programs.</li><li>Complete and accurately review UB-04 forms for billing and appeals processes.</li><li>Communicate with insurance carriers to gather status updates and clarify payment issues.</li><li>Collaborate with hospital billing and patient accounts teams to resolve outstanding balances.</li><li>Document all actions and maintain compliance with HIPAA and hospital policies.</li></ul><p><br></p>
We are looking for a detail-oriented Accounting Clerk to join our team in Gardena, California. In this Contract to permanent position, you will play a vital role in supporting the finance department by handling accounts payable, assisting with financial reporting, and managing administrative tasks. This opportunity is ideal for individuals who thrive in a collaborative environment and are eager to contribute to the success of a non-profit organization.<br><br>Responsibilities:<br>• Process check requests, ensuring proper allocation of expenses and reviewing mileage claims.<br>• Maintain and update employee benefits schedules in alignment with payroll allocations.<br>• Manage vendor accounts in the portal to ensure timely payments and avoid late fees.<br>• Order agency program supplies, verify deliveries, and record transactions in the system before forwarding them to the accounts payable specialist.<br>• Review and approve accounts payable transactions and supporting documents prior to vendor payments.<br>• Collaborate with the controller to prepare monthly financial statements and generate ad hoc financial reports.<br>• Provide assistance during annual audits and program-specific financial reviews.<br>• Organize and maintain filing systems for accounts payable and other finance-related documentation.<br>• Support month-end and year-end closing processes, including preparing accrual worksheets and recording journal entries.<br>• Communicate effectively with internal departments to address financial matters and follow up on pending receipts.
