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6 results for Denials Specialist in Ontario, CA

Leave of Absence Specialist

Van Nuys, CA
onsite
Temporary / Contract
27 - 35 USD / Hourly
The Leave of Absence (LOA) Specialist is responsible for administering and managing all aspects of employee leave programs. This role ensures a smooth, compliant, and employee-centered leave process while partnering closely with HR, managers, and external vendors. Key Responsibilities:<ul><li>Administer end-to-end leave of absence processes, including FMLA, state leaves, disability, and company-sponsored leave programs</li><li>Serve as the primary point of contact for employees and managers regarding leave policies, eligibility, and procedures</li><li>Review, track, and maintain accurate leave documentation and records in compliance with applicable laws and internal policies</li><li>Coordinate with third-party administrators, payroll, and benefits teams to ensure accurate leave processing and pay continuity</li><li>Monitor leave timelines, extensions, and return-to-work processes, including accommodations when applicable</li><li>Ensure compliance with federal, state, and local regulations, including FMLA, ADA, and other applicable leave laws</li><li>Provide guidance to managers on employee leave situations and best practices</li><li>Identify opportunities for process improvement and contribute to HR projects and initiatives</li><li>Maintain confidentiality while handling sensitive employee information</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-10T00:00:00Z

Medical AR Insurance Specialist

Los Angeles, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialistwill focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment. Responsibilities:• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.• Investigate and resolve written-off accounts to maximize revenue recovery.• Process approximately 50-60 claims per day with attention to detail and accuracy.• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.• Handle medical denials and appeals, ensuring timely and effective resolution.• Review and manage accounts associated with various insurance carriers.• Analyze and document collection efforts for reporting and compliance purposes.• Maintain up-to-date knowledge of relevant medical billing and insurance policies.• Communicate effectively with internal teams to coordinate account resolution strategies.
2026-04-21T00:00:00Z

Medical AR Insurance Specialist

Los Angeles, CA
onsite
Temporary / Contract
23.75 - 28 USD / Hourly
We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialist will focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment. This role is a hybrid tole. Responsibilities:• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.• Investigate and resolve written-off accounts to maximize revenue recovery.• Process approximately 50-60 claims per day with attention to detail and accuracy.• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.• Handle medical denials and appeals, ensuring timely and effective resolution.• Review and manage accounts associated with various insurance carriers.• Analyze and document collection efforts for reporting and compliance purposes.• Maintain up-to-date knowledge of relevant medical billing and insurance policies.• Communicate effectively with internal teams to coordinate account resolution strategies.
2026-04-21T00:00:00Z

Enrollment Specialist

Buena Park, CA
onsite
Temporary to Hire
24 - 29 USD / Hourly
We are looking for a dedicated Enrollment Specialist to join our team in Buena Park, California. The Enrollment Specialist will play a vital role in assisting patients with their health insurance enrollment through programs like Covered California and Medi-Cal. This is an excellent opportunity for someone passionate about helping individuals navigate the complexities of healthcare coverage. Key Responsibilities:• Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal.• Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions.• Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies.• Maintain up-to-date records of enrollment activity and manage data entry into internal systems.• Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes.• Collaborate with community outreach teams to support enrollment initiatives and drive awareness.• Deliver excellent customer service by addressing patient inquiries and concerns promptly.• Stay informed about changes in health insurance policies to provide accurate guidance to patients. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-21T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Temporary to Hire
25.3365 - 29.337 USD / Hourly
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. Responsibilities: • Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections. • Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers. • Conduct quality assurance checks and audits of billing tasks performed by team members. • Handle out-of-network billing and provide support for concierge-model practices. • Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog. • Assist with collections and reimbursement strategies to optimize revenue. • Maintain detailed and accurate billing records, including comprehensive account documentation. • Ensure compliance with payer policies, industry standards, and internal workflows. • Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
2026-04-21T00:00:00Z

Medical Enrollment Specialist

Buena Park, CA
onsite
Temporary / Contract
21 - 28 USD / Hourly
Our healthcare team is seeking a detail-oriented Medical Insurance Enrollment Specialist with at least two years of experience and fluency in Spanish and English. The ideal candidate is passionate about helping patients navigate insurance processes and enjoys a fast-paced, supportive environment.Responsibilities:<ul><li>Process and review medical insurance enrollments for new and existing patients</li><li>Verify insurance coverage, eligibility, and benefits with various payers</li><li>Collaborate with patients, providers, and insurers to resolve enrollment questions and discrepancies</li><li>Maintain accurate and timely data entry in healthcare management systems</li><li>Communicate benefits information and enrollment outcomes to patients in both Spanish and English</li><li>Ensure compliance with HIPAA and company privacy policies</li><li>Provide exceptional customer service while assisting patients with insurance inquiries</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-17T00:00:00Z