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11 results for Claims Processor Administrative And Customer Support in Newport Beach, CA

Customer Service Representative
  • San Marcos, CA
  • onsite
  • Temporary
  • 22.00 - 24.00 USD / Hourly
  • <p>If you’ve ever wanted to combine your administrative skills with the chance to truly make an impact in people’s lives, this opportunity is for you. Our client, a growing <strong>medical services provider in San Marcos</strong>, is seeking a <strong>Customer Service Representative</strong> who will provide compassionate, efficient, and professional support to patients, families, and providers. Healthcare is fast-paced, complex, and often stressful for the people navigating it. Patients rely on a system that is not always easy to understand — insurance claims, authorizations, billing, and appointment scheduling can quickly become overwhelming. That’s why this role is so critical: as a Customer Service Representative, you’ll act as both guide and advocate, helping patients get the answers they need and ensuring they feel cared for from the very first call.</p><p><br></p><p>You’ll work closely with clinical staff, billing teams, and insurance providers to untangle issues and make the process smoother for everyone involved. Every conversation is an opportunity to make a positive difference.</p><p><br></p><p><strong><u>What You’ll Do Every Day</u></strong></p><ul><li>Serve as the first point of contact for patients and providers by phone and email.</li><li>Answer questions related to scheduling, billing, and insurance verification with patience and clarity.</li><li>Research and resolve claims-related issues, including prior authorizations, coding questions, and payment discrepancies.</li><li>Keep detailed, accurate records in the patient management system to ensure smooth communication between departments.</li><li>Partner with clinical and administrative teams to provide timely updates and follow-up to patients.</li><li>Maintain confidentiality while handling sensitive medical and financial information.</li></ul>
  • 2025-09-25T19:44:00Z
Billing Specialist
  • Carlsbad, CA
  • onsite
  • Temporary
  • 26.00 - 28.00 USD / Hourly
  • <p>Our healthcare client in Carlsbad is searching for a <strong>Billing Specialist</strong> to join their fast-paced and collaborative administrative team. This role is ideal for someone who enjoys problem-solving, has strong attention to detail, and thrives in an environment where accuracy and efficiency directly support patient care. The Billing Specialist will manage insurance claims, patient accounts, and billing inquiries. You’ll play a key part in ensuring that revenue cycles flow smoothly, and that both payors and patients are served with professionalism.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Process billing claims accurately and in a timely manner, ensuring compliance with insurance regulations.</li><li>Work with a wide range of payor groups, from commercial carriers to government programs.</li><li>Apply knowledge of CPT, ICD-10, and HCPCS coding when preparing claims.</li><li>Review and resolve claim rejections, denials, and outstanding balances.</li><li>Communicate with insurance companies, patients, and providers to clarify and resolve billing issues.</li><li>Maintain accurate patient billing records in the system.</li><li>Support month-end reconciliation and reporting related to billing and collections.</li><li>Collaborate with internal departments to ensure proper documentation is received for claims processing.</li></ul><p><br></p>
  • 2025-09-23T18:39:03Z
Claims Representative
  • Ontario, CA
  • onsite
  • Temporary
  • 24.00 - 24.00 USD / Hourly
  • <p>We are looking for a detail oriented Entry-level Claims Representative to join our clients' team in Ontario, California. In this role, you will provide critical support in managing claims-related tasks, ensuring accuracy and efficiency in processing, reconciling, and auditing claims. This is a long-term contract position ideal for professionals with strong organizational skills and a background in medical office operations.</p><p><br></p><p>Responsibilities:</p><p>• Match checks with remittance advice, prepare and insert them into envelopes for mailing.</p><p>• Reconcile processed batches within the audit database to ensure accuracy.</p><p>• Create and mail denial trailers and letters to providers.</p><p>• Print and send out claim requirement letters for Covered California members.</p><p>• Forward claims to the appropriate health plan when necessary.</p><p>• Process and mail claims deemed unable to process, including generating the necessary correspondence.</p><p>• Batch trailers created by various departments and ensure proper documentation.</p><p>• Audit the batch log key to confirm claims have been assigned and logged correctly.</p><p>• Verify member information to determine line of business and coordination of benefits in the system.</p><p>• Collaborate on process adjustments and work independently or as part of a team.</p>
  • 2025-10-02T14:49:11Z
Case Manager
  • Los Angeles, CA
  • onsite
  • Permanent
  • 90000.00 - 110000.00 USD / Yearly
  • <p>We are looking for a detail-oriented Personal Injury Plaintiff Case Manager to join our team in Los Angeles, California. In this role, you will oversee personal injury cases, ensuring efficient claim processing, effective communication, and timely management of client needs. The ideal candidate will have a strong background in case management and a commitment to delivering exceptional client service.</p><p><br></p><p>Responsibilities:</p><p>• Process and open health insurance claims with accuracy and attention to detail.</p><p>• Upload and organize critical documents into the company’s case management software.</p><p>• Schedule and coordinate medical appointments while maintaining an up-to-date calendar.</p><p>• Serve as the primary point of contact for clients, addressing their concerns promptly and professionally.</p><p>• Ensure proper documentation and tracking of case details to support smooth claim administration.</p><p>• Collaborate with internal teams to streamline workflows and maintain case progress.</p><p>• Utilize CRM tools to manage client interactions and maintain detailed records.</p><p>• Monitor case timelines and ensure all deadlines are met.</p><p>• Stay informed about personal injury law and regulations to provide informed support.</p><p>• Maintain confidentiality and adhere to legal compliance standards.</p>
  • 2025-09-08T17:04:56Z
Human Resources Assistant
  • Vista, CA
  • onsite
  • Temporary
  • 21.00 - 24.00 USD / Hourly
  • <p>Our client, a dynamic and growing <strong>corporate services organization</strong>, is looking for a detail-oriented and motivated <strong>HR Assistant</strong> to join their human resources team. This position offers an opportunity to learn, grow, and build a long-term HR career in an environment that values collaboration, compliance, and employee engagement.</p><p>As the HR Assistant, you’ll support daily operations across onboarding, compliance, payroll administration, and benefits coordination. You’ll act as a trusted liaison between employees and the HR department — maintaining confidentiality and professionalism while helping the company’s people-first culture thrive.</p><p><br></p><p><strong><u>What You’ll Do</u></strong></p><ul><li>Assist in the recruitment process, including posting jobs, reviewing resumes, and scheduling interviews.</li><li>Coordinate onboarding and new hire paperwork, ensuring compliance with company and legal requirements.</li><li>Maintain accurate HR records, employee files, and HRIS data.</li><li>Support payroll processing, timecard verification, and benefits enrollment.</li><li>Help manage leaves of absence, FMLA, workers’ comp, and unemployment claims.</li><li>Assist with performance review tracking and training logistics.</li><li>Respond to employee inquiries and provide general HR support.</li><li>Participate in employee engagement and wellness initiatives.</li></ul>
  • 2025-10-06T15:49:12Z
Litigation Paralegal
  • Los Angeles, CA
  • onsite
  • Temporary
  • 30.00 - 38.50 USD / Hourly
  • <p>A California-based defense litigation firm is seeking a skilled Contract Paralegal to join their team in a hybrid capacity. The role involves providing comprehensive support, including document management, drafting and organizing discovery, and overseeing case and file management. The ideal candidate has experience in California litigation processes, strong organizational skills, and the ability to multitask in a fast-paced legal environment. This contract position offers an indefinite duration and the potential to transition into a permanent role with the firm. Competitive compensation and a collaborative, supportive work environment are provided. </p><p><br></p><p>Responsibilities: • Assist with discovery processes, including organizing and reviewing case documentation. • Draft motions using established templates to support legal proceedings. • Prepare trial materials and provide comprehensive support during trial preparation. • Manage case calendars and ensure important deadlines are met. • Coordinate claim administration and maintain accurate records. • Utilize legal software such as Aderant, Adobe Acrobat, and CompuLaw for efficient case management. • Handle billing functions and ensure timely processing of legal expenses. • Communicate effectively with clients and team members to support case progression. • Conduct research and maintain updated knowledge of relevant laws and regulations.</p>
  • 2025-09-04T20:29:07Z
Billing Clerk - Healthcare
  • San Marcos, CA
  • onsite
  • Temporary
  • 24.00 - 26.00 USD / Hourly
  • <p>Accuracy and efficiency matter most when it comes to healthcare billing. Our client, a <strong>growing healthcare services organization in San Diego</strong>, is searching for a <strong>Billing Clerk</strong> who can process invoices with precision while keeping patient and insurance records up to date. This role offers the opportunity to contribute to the smooth functioning of a busy healthcare office while learning from experienced finance and billing professionals. If you’re detail-oriented, organized, and passionate about supporting patient care from the administrative side, this could be the role for you.</p><p><br></p><p><strong><u>What You’ll Do</u></strong></p><ul><li>Prepare, review, and send invoices to patients and insurance providers.</li><li>Post payments and reconcile billing accounts.</li><li>Verify patient and insurance information for accuracy.</li><li>Follow up on outstanding balances and support collections as needed.</li><li>Maintain accurate records in billing software and electronic health record (EHR) systems.</li><li>Assist with month-end billing reports and compliance audits.</li><li>Communicate with patients, insurance reps, and internal staff regarding billing questions.</li></ul>
  • 2025-09-30T16:43:49Z
Billing Clerk
  • Encinitas, CA
  • onsite
  • Temporary
  • 21.00 - 27.00 USD / Hourly
  • <p>Our client in Encinitas is seeking a <strong>Billing Clerk</strong> to join their accounting department. This role is ideal for someone who is detail-oriented, enjoys working with numbers, and can manage a high volume of billing tasks with accuracy.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Prepare, review, and issue invoices in a timely manner.</li><li>Verify billing data and ensure compliance with company procedures.</li><li>Assist with resolving billing discrepancies and customer inquiries.</li><li>Maintain accurate billing records and files.</li><li>Support the accounting team with reporting and special projects as needed.</li></ul>
  • 2025-09-25T19:18:45Z
Medical Biller/Collections Specialist
  • Duarte, CA
  • onsite
  • Contract / Temporary to Hire
  • 23.75 - 30.01 USD / Hourly
  • <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>
  • 2025-09-16T20:29:10Z
Billing Clerk
  • Encinitas, CA
  • onsite
  • Temporary
  • 24.00 - 26.00 USD / Hourly
  • <p>A thriving <strong>professional services firm</strong> in the heart of San Diego is searching for a motivated and detail-oriented <strong>Billing Clerk</strong> to join its growing finance team. This position is perfect for someone who enjoys working with numbers, analyzing data, and ensuring clients are billed accurately and efficiently. This isn’t your typical back-office billing role — you’ll collaborate with multiple departments, support project teams, and help keep the financial side of the business running seamlessly. The ideal candidate takes pride in accuracy, thrives on organization, and brings a proactive approach to solving small but important financial puzzles each day.</p><p><br></p><p><strong><u>Key Responsibilities</u></strong></p><ul><li>Prepare and process detailed client invoices in accordance with project terms and timelines.</li><li>Review and verify contract data, billing rates, and project codes for accuracy.</li><li>Communicate with project managers and department leads to clarify billing details or resolve discrepancies.</li><li>Post payments, issue credit memos, and maintain accurate account records.</li><li>Monitor outstanding balances and assist with collection follow-up as needed.</li><li>Reconcile billing statements and assist with monthly reporting.</li><li>Support accounting leadership with special projects, audits, and month-end close.</li></ul>
  • 2025-10-06T16:43:44Z
100% Remote CA Barred Insurance Coverage Opinion Atty
  • Los Angeles, CA
  • remote
  • Permanent
  • 175000.00 - 220000.00 USD / Yearly
  • <p><strong>Firm seeks Coverage Opinion Writing Attorney (No Litigation)</strong></p><p><br></p><p>This Attorney opening involves working closely with insurers to provide expert advice and analysis on insurance coverage matters. The ideal attorney will have a deep understanding of various insurance policies and be adept at drafting comprehensive coverage opinions.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Collaborate with insurers to provide advice on insurance coverage and interpret policies.</li><li>Analyze various types of insurance policies across an array of industries.</li><li>Draft detailed coverage opinions based on policy analysis and contract interpretation.</li><li>Maintain effective communication with clients and internal team members.</li></ul><p><br></p><p>Billable hour target: 1850/year</p><p><br></p><p>Can work 100% remote in US (PST work hours)</p><p><br></p><p><u>Perks of Firm</u>:</p><ol><li>Established for over 30 years</li><li>Multiple offices with large firm resources</li><li>Women-owned firm</li></ol><p><br></p>
  • 2025-09-06T17:39:12Z