<p><strong><u>💼 HR Manager Needed for Healthcare Group in Carlsbad 🌟</u></strong></p><p><strong>Looking for an impactful leadership role in HR?</strong> Our client, a leading <strong>healthcare group</strong> in <strong>Carlsbad</strong>, CA, is seeking a highly motivated <strong>HR Manager</strong> to join their team and help support their mission of providing quality care. This position will give you the chance to lead HR operations, develop employee relations strategies, and play a key role in shaping the workforce that supports patients and healthcare professionals alike.</p><p><br></p><p><strong><u>💡 What You'll Be Doing:</u></strong></p><ul><li><strong>Strategic HR Leadership:</strong> Lead HR functions, including talent management, employee relations, compliance, and training, ensuring alignment with the company’s goals and values.</li><li><strong>Staffing & Recruitment:</strong> Oversee recruiting efforts and help build a <strong>high-performing team</strong> by identifying top talent in the healthcare industry. Drive the hiring process, from sourcing candidates to managing interviews and selection.</li><li><strong>Employee Relations & Performance:</strong> Serve as a go-to resource for employees, addressing concerns and providing advice on performance management, conflict resolution, and engagement strategies.</li><li><strong>Compensation & Benefits:</strong> Design and manage compensation programs, including annual reviews, incentive plans, and benefits administration, ensuring competitiveness and compliance with healthcare-specific regulations.</li><li><strong>Compliance & Policy Development:</strong> Maintain up-to-date knowledge of healthcare laws, including HIPAA, and develop policies that promote a healthy, compliant work environment.</li><li><strong>Employee Engagement & Development:</strong> Develop training programs and workshops aimed at improving employee skills and morale, while supporting leadership in building a culture of continuous improvement.</li></ul>
<p>Our client, a <strong>well-established medical practice in Carlsbad</strong>, is seeking a <strong>Medical Administrative Assistant</strong> to join their team. This role is the perfect opportunity for someone who thrives in a fast-paced healthcare setting and enjoys supporting both patients and medical providers. The ideal candidate is warm, approachable, detail-oriented, and thrives on keeping schedules, paperwork, and patient records organized and accurate. This role requires someone who can seamlessly balance <strong>patient-facing interactions</strong> with <strong>behind-the-scenes administrative tasks</strong>, ensuring the office runs smoothly and patients feel valued from the moment they walk in.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Greet and check in patients, providing a friendly and professional first impression.</li><li>Schedule and confirm appointments, ensuring providers’ calendars are efficiently managed.</li><li>Verify patient insurance, process authorizations, and update medical records.</li><li>Handle incoming calls, emails, and inquiries with professionalism and empathy.</li><li>Assist with billing support, coding, and claims documentation.</li><li>Prepare patient files, forms, and other necessary paperwork for appointments.</li><li>Ensure HIPAA compliance in handling sensitive medical information.</li><li>Support medical staff with various administrative needs.</li><li>Maintain a clean, organized, and welcoming front office environment.</li></ul>
<p>A reputable healthcare company in Solana Beach is seeking an Accounting Clerk to support its finance department. This organization provides specialized medical services and is known for its commitment to patient care and operational excellence. The Accounting Clerk will assist with day-to-day financial transactions, ensuring accuracy and compliance with internal policies. This is a great opportunity for someone looking to grow in the healthcare finance field.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><ul><li>Process accounts payable and receivable transactions.</li><li>Reconcile bank statements and assist with month-end close.</li><li>Maintain financial records and filing systems.</li><li>Assist with payroll and expense reporting.</li><li>Support audits and financial reviews.</li><li>Communicate with vendors and internal departments regarding billing issues.</li></ul>
<p>A well-established healthcare provider in Solana Beach is seeking a Patient Services Representative to join their front office team. This role is ideal for someone with strong administrative skills and a background in medical office operations. The organization is known for its patient-centered care and supportive work environment. As the first point of contact for patients, you’ll be responsible for ensuring a smooth and welcoming experience while managing essential administrative tasks.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><ul><li>Greet and check in patients with professionalism and empathy.</li><li>Schedule appointments and manage provider calendars.</li><li>Verify insurance and collect co-pays.</li><li>Maintain accurate patient records and update EMR systems.</li><li>Answer phones and respond to patient inquiries.</li><li>Coordinate with clinical staff to ensure timely patient flow.</li></ul><p><br></p>
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.
<p><strong>Do you have a passion for helping people find meaningful work?</strong> Our client, a respected <strong>healthcare group</strong> in <strong>Encinitas</strong>, is looking for a dedicated <strong>Staffing Coordinator</strong> to join their growing team. This is a fantastic opportunity for someone with an eye for detail and a strong commitment to ensuring that healthcare professionals are placed in the right roles to make the most impact.</p><p><br></p><p><strong><u>🔍 What You’ll Be Doing:</u></strong></p><ul><li><strong>Staffing & Scheduling:</strong> Coordinate staffing schedules for healthcare professionals, ensuring adequate coverage and minimizing gaps in shifts.</li><li><strong>Recruitment & Onboarding:</strong> Assist in recruiting new staff, from job posting to interviewing and facilitating a smooth onboarding process.</li><li><strong>Employee Communication:</strong> Serve as the primary point of contact for staff regarding scheduling, availability, and concerns. Maintain positive relationships with all healthcare professionals.</li><li><strong>Tracking & Reporting:</strong> Maintain accurate records of staffing levels, shift coverage, and hours worked. Prepare weekly and monthly staffing reports for leadership.</li><li><strong>Compliance & Documentation:</strong> Ensure compliance with healthcare regulations by maintaining up-to-date staffing records, licensure, and certifications for each healthcare professional.</li></ul>
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>Our healthcare client in Carlsbad is seeking a <strong>Business Office Manager</strong> to oversee the administrative and financial operations of their facility. This role is crucial in ensuring compliance, efficiency, and financial integrity, while also fostering a supportive environment for patients and staff alike. The Business Office Manager will provide leadership across billing, patient accounts, insurance verification, and office administration. The successful candidate will combine <strong>healthcare knowledge, financial expertise, and people management skills</strong> to keep the office running smoothly.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Oversee day-to-day business operations for the healthcare office, ensuring compliance with regulations.</li><li>Manage patient billing, collections, and insurance claims, resolving discrepancies as needed.</li><li>Supervise front office staff, providing training, coaching, and performance evaluations.</li><li>Maintain accurate financial records, generate reports, and support budgeting processes.</li><li>Ensure HIPAA compliance in all patient interactions and records management.</li><li>Coordinate office schedules, workflows, and departmental communications.</li><li>Collaborate with leadership on process improvements to increase efficiency and service quality.</li><li>Serve as a liaison between patients, staff, and third-party vendors.</li></ul>
<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 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>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>
<p>Our recruiting firm is proud to represent a leading <strong>medical services client in North San Diego County</strong> who is seeking a detail-oriented and professional <strong>Collections Specialist</strong>. This role offers an exciting opportunity to contribute to the financial health of an organization that directly impacts patient care and community well-being.</p><p><br></p><p><strong><u>Role Overview</u></strong></p><p>The Collections Specialist will be responsible for managing the collections process for outstanding medical accounts, maintaining accurate records, and providing respectful, empathetic communication with patients and insurance providers. This is a <strong>temp-to-hire</strong> role with a client that values both professionalism and compassion in financial operations.</p><p><br></p><p><strong><u>Key Responsibilities</u></strong></p><ul><li>Contact patients and insurance companies regarding outstanding balances.</li><li>Negotiate payment arrangements while adhering to company policies and healthcare compliance standards.</li><li>Research and resolve billing discrepancies or insurance denials.</li><li>Maintain accurate documentation of all communications and payment activity.</li><li>Collaborate with the billing department and revenue cycle team to ensure timely collections.</li><li>Provide professional and empathetic customer service to patients.</li></ul>
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>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>
<p>We are seeking a <strong>Medical Biller</strong> for a growing healthcare provider located in <strong>Carlsbad</strong>, CA. This role is ideal for someone with strong billing experience and a solid understanding of insurance claims, coding, and the revenue cycle process. You’ll be responsible for accurately submitting medical claims, resolving billing issues, and working directly with insurance companies to ensure timely payment. If you're detail-oriented, dependable, and experienced in medical billing systems (such as Epic, Kareo, or similar), we want to hear from you.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit insurance claims accurately and efficiently</li><li>Follow up on unpaid claims and resolve denials</li><li>Verify insurance coverage and patient information</li><li>Collaborate with providers and front office staff</li><li>Maintain compliance with HIPAA and billing regulations</li></ul>
<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>
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.
