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>A Hospital in the Los Angeles area is in the immediate need of a Medical Biller. The Medical Biller must have 2 years of experience in billing insurance companies for hospital acute charges. The Medical Biller will be task with billing Non-Government Commercial and minimal Government Insurance.</p><p>Position Duties</p><p>• Bills both electronically and manually, as needed, and uses all technology available to produce clean claims.</p><p>• Interprets claims processing reports and applies information to produce clean claims.</p><p>• Maintains current knowledge of regulatory billing requirements.</p><p>• Makes changes to demographic information as necessary in order to produce a clean claim.</p><p>• Meets or exceeds productivity standards in the completion of daily assignments and accurate production.</p><p>• Must have the ability to analyze coding to assure proper billing of claim.</p><p>• Participates in a variety of hospital educational programs to maintain current skill and competency levels.</p><p>• Requests and attaches required clinical documentation in accordance with third party requirements.</p><p>• Services accounts in priority of importance, independently billing accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximize turnaround time.</p><p>• Performs miscellaneous job related duties as requested.</p><p><br></p><p>Benefits include Health Insurance, Sick Time Off and 401K retirement.</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>Robert Half Legal is partnering with a prominent global investment firm to hire a Legal Billing Coordinator. This organization specializes in alternative investments, including credit, real estate, private equity, and infrastructure. This is a 4–6 month contract opportunity to cover a leave of absence, with a hybrid schedule (3–4 days per week on-site). The target start date is January 21, and interviews are taking place now.</p><p><br></p><p><strong>Position Summary:</strong></p><p>The Legal Billing Coordinator will provide essential support to the legal department and external law firms by managing new matter creation, invoice reviews, vendor onboarding, and general billing inquiries. Legal billing experience is not required; we are seeking someone who is sharp, highly professional, and detail-oriented.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>New Matter Creation:</strong></li><li>Set up and verify new matter files, ensuring information is accurate for both the legal department and external law firms</li><li>Assign and distribute matter numbers</li><li>Track pending requests and escalate aged items as needed</li><li><strong>Invoice Management:</strong></li><li>Review legal invoices for compliance and proper discounts</li><li>Identify and resolve billing discrepancies</li><li>Coordinate with Accounts Payable for invoice processing</li><li>Monitor and report on aged invoices</li><li><strong>Vendor Support:</strong></li><li>Assist with new vendor (law firm) onboarding and documentation</li><li><strong>General Billing Inquiries:</strong></li><li>Respond promptly to ad-hoc billing questions from internal and external stakeholders</li></ul><p><br></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>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>
<p>A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Hospital Medical Billing Coordinator to join its growing team. The ideal Hospital Medical Billing Coordinator should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Billing Coordinator is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medical appeals and denials experience is plus. </p><p>Responsibilities:</p><p>• Ensure timely submission of medical bills to different insurance companies.</p><p>• Conduct verification of patients' insurance coverage.</p><p>• Insurance follow up, appeals and denials. </p><p>• Determine the patient's financial status and capability to pay their bills.</p><p>• Apply appropriate codes to billable goods and services.</p><p>• Address and resolve patient complaints regarding bills.</p><p>• Maintain confidentiality and comply with all federal and state health information privacy laws.</p><p>• Monitor and record late payments.</p><p>• Regularly report to the Billing Manager.</p>
We are looking for an experienced HR/Payroll Manager to oversee payroll operations and human resources functions for a growing organization in Cypress, California. This role requires a strong background in payroll processing and human resource management, with a focus on union and non-union employee relations. The ideal candidate will bring a proactive approach, excellent organizational skills, and a passion for fostering positive workplace relationships.<br><br>Responsibilities:<br>• Manage end-to-end payroll processing, including weekly submissions and input using QuickBooks.<br>• Supervise employee relations for a workforce of approximately 120 individuals, ensuring effective communication and conflict resolution.<br>• Oversee recruitment efforts, including onboarding and termination processes.<br>• Administer employee benefits and ensure compliance with workers' compensation policies.<br>• Maintain and respond to inquiries in the HR inbox, providing timely assistance to employees.<br>• Coordinate new employee paperwork and onboarding activities to ensure a smooth integration into the company.<br>• Ensure compliance with union and non-union regulations and practices.<br>• Handle employee terminations with professionalism and adherence to legal requirements.<br>• Support workers' compensation claims and processes, ensuring timely reporting and resolution.<br>• Foster a collaborative and organized HR environment, taking initiative to improve processes and communication channels.
