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9 results for Insurance Authorization Specialist in Ontario, CA

Insurance Authorization Coordinator

San Bernardino, CA
onsite
Temporary
19.7885 - 25 USD / Hourly
We are looking for a meticulous and organized Insurance Authorization Coordinator to join our team on a contract basis in San Bernardino, California. In this role, you will be responsible for managing retroactive insurance authorizations and ensuring compliance with healthcare regulations. The ideal candidate will have hands-on experience with the Treatment Authorization Request (TAR) process and a strong background in healthcare billing and insurance coordination. Responsibilities: • Process and submit retroactive insurance authorizations for hospital services, ensuring accuracy and timeliness. • Monitor and follow up on pending and denied authorizations to secure approvals efficiently. • Collaborate with clinical and administrative teams to collect and verify required medical documentation. • Communicate with insurance companies to resolve issues and obtain necessary approvals. • Maintain compliance with hospital policies, as well as state and federal healthcare regulations. • Accurately record and update information within hospital information systems. • Stay informed on updates and best practices related to the Treatment Authorization Request (TAR) process. • Assist with administrative tasks, such as scanning and organizing documentation, to support the authorization process. • Handle inbound and outbound calls related to authorization inquiries and resolutions.
2026-04-10T00:00:00Z

Medical Insurance Collections Specialist

Buena Park, CA
onsite
Temporary
23.02 - 29.11 USD / Hourly
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.Responsibilities:<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>
2026-04-06T00:00:00Z

Medical Enrollment Specialist

Buena Park, CA
onsite
Temporary
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>
2026-04-13T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Temporary
25 - 35 USD / Hourly
We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for a multi‑specialty healthcare practice. This 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. Key Responsibilities:<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>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-31T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Contract / 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.
2026-04-15T00:00:00Z

Medical Billing Specialist - Hospital

Los Angeles, CA
onsite
Temporary
25.12 - 31.91 USD / Hourly
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. Key Responsibilities:<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>
2026-04-03T00:00:00Z

Leave of Absence Specialist

Van Nuys, CA
onsite
Temporary
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

Enrollment Specialist

Buena Park, CA
onsite
Contract / 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.
2026-04-16T00:00:00Z

Medical Billing Support Services Associate

Los Angeles, CA
onsite
Temporary
24.96 - 31.19 USD / Hourly
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. Essential Duties:• 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.• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.• Reverses balance to credit or debit if charges were improperly billed.• Contacts insurance carriers as necessary to determine correct payment application.• 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.• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.• Communicates issues related to payment posting and refunds from payers to management.• Updates correct payer and resubmits claims to the payers.• Consistently meets/exceeds productivity and quality standards.• 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.• 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.• 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.• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.• Special billing and collections for LOAs.• Special billing and collections for Case Rates.• Special billing and collections for Embassy Services.• Performs other related duties as assigned by management team.
2026-04-03T00:00:00Z