<p>We are seeking a <strong>Senior Workers’ Compensation Claim Representative</strong> to join our team in Los Angeles, CA. This is an on-site, full-time temporary role. The <strong>Senior Workers’ Compensation Claim Representative</strong> will be responsible for managing all aspects of lost time claims for California, ensuring superior customer service and compliance with state regulations. As a <strong>Senior Workers’ Compensation Claim Representative</strong>, you’ll work closely with attorneys, vendors, and internal teams to deliver high-quality claims management services.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Manage workers' compensation lost time claims from start to closure</li><li>Conduct comprehensive investigations and evaluate compensability</li><li>Communicate claim decisions to insureds, claimants, and attorneys</li><li>Administer statutory medical and indemnity benefits throughout claim lifecycle</li><li>Set and adjust reserves within authority limits</li><li>Collaborate with attorneys on hearings and litigation strategies</li><li>Direct nurse case managers, rehabilitation vendors, and telephonic case managers</li><li>Ensure compliance with all statutory filing requirements</li><li>Pursue subrogation opportunities where applicable</li><li>Maintain detailed file notes and participate in claim reviews</li></ul><p><br></p>
<p>We are currently seeking an experienced <strong>Workers Compensation Lost Time Senior Claim Examiner</strong> to join our team in the Los Angeles, CA area. As a <strong>Workers Compensation Lost Time Senior Claim Examiner</strong>, you will handle a caseload of lost time workers compensation claims originating primarily from California. This <strong>Workers Compensation Lost Time Senior Claim Examiner</strong> role is an on-site position located in Los Angeles and focuses on delivering high-quality claims service in a fast-paced, customer-driven environment.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Manage all aspects of lost time workers compensation claims from initiation through closure.</li><li>Conduct three-part investigations, including statements from insureds, claimants, and medical providers.</li><li>Determine claim compensability based on investigation outcomes.</li><li>Administer statutory medical and indemnity benefits timely and accurately.</li><li>Communicate denials and updates to insureds, claimants, attorneys, and involved parties.</li><li>Set and adjust reserves within authority, escalating when necessary.</li><li>Collaborate with legal counsel on hearings and litigation matters.</li><li>Direct vendors and medical case managers on return-to-work strategies.</li><li>Comply with all state and regulatory reporting requirements.</li><li>Refer appropriate claims for subrogation and maximize recovery efforts.</li><li>Partner with internal teams (nurses, investigators, case managers) for optimal claim outcomes.</li><li>Prepare clear, professional documentation and reports.</li></ul><p><br></p>
<p><br></p><ul><li><strong>Position: Claims Adjuster - Workers' Compensation - Trainee (CONTRACT ROLE)</strong></li><li><strong>Location: </strong>9200 Oakdale Avenue 8th Floor Chatsworth, Chatsworth, California, 91311, United States</li><li><strong>Type: 100% ONSITE</strong></li><li><strong>Hourly Pay Range: $30 per hour </strong></li></ul><p>Job Description:</p><p>MAJOR DUTIES RESPONSIBILITIES:</p><p>Duties may include but are not limited to:</p><p>- Compensability investigations in regards to Workers Compensation claims</p><p>- Handle new losses verifies accuracy of information</p><p>- Deals with insureds clients and other customers</p><p>- Complete claim investigation via phone and email to injured workers medical providers and employers.</p><p>- Handles jurisdictional notices payment of benefits scheduling medical appointments completion and filing of necessary forms</p><p>- Review medical reports and information to determine compensability of claims.</p><p>- Work with Special Investigation Unit when necessary</p><p>- Direct attorney representation to strategize case resolution</p><p>- Handles other administrative duties for the team as assigned</p><p><br></p><p><br></p>
<p>A Behavioral Health Company in Long Beach is in the need of a Lead Medical Billing Operations Coordinator. The Lead Medical Billing Operations Coordinator will oversee the daily operations of the billing department and ensure compliance with mental health contract requirements. The Lead Medical Billing Operations Coordinator must have behavioral health experience. </p><p><br></p><p>Responsibilities:</p><p>• Supervise and provide daily guidance to billing staff, ensuring adherence to established procedures.</p><p>• Conduct training, coaching, and performance evaluations for team members, supporting their growth and attention to detail.</p><p>• Review billing documentation and workflows to ensure accuracy and compliance with established protocols.</p><p>• Address claim denials by analyzing monthly revenue reports and implementing corrective measures.</p><p>• Collaborate with Quality Assurance staff to update administrative sections of client files as needed.</p><p>• Process electronic billing efficiently, ensuring clean and accurate claims using available technology.</p><p>• Reconcile billing reports for the Department of Mental Health and Behavioral Health Services, ensuring compliance with agency standards.</p><p>• Partner with the Billing Director to implement new procedures and provide operational feedback.</p><p>• Organize and facilitate departmental meetings and training sessions to improve team performance.</p><p>• Attend required meetings and training sessions to stay updated on internal and external systems relevant to billing operations.</p>
<p>A Hospital in Van Nuys is in the need of an experienced Patient Account Representative to join our team in Van Nuys, California. In this role, the Patient Account Representative will utilize your expertise in hospital billing and collections to ensure seamless revenue cycle operations. This is a Contract to permanent position, offering the opportunity to transition into a permanent role based on performance and organizational needs.</p><p><br></p><p>Responsibilities:</p><p>• Manage hospital billing and collections processes, ensuring accuracy and compliance with regulations.</p><p>• Handle Medicare managed care, commercial insurance, and medical managed care accounts.</p><p>• Investigate and resolve medical billing denials and appeals to recover outstanding payments.</p><p>• Process claims for hospital inpatient and outpatient services with a focus on maximizing reimbursement.</p><p>• Collaborate with insurance carriers, patients, and internal teams to address billing inquiries and disputes.</p><p>• Monitor accounts receivable to identify and prioritize collections efforts.</p><p>• Utilize knowledge of HMO and PPO plans to navigate complex insurance requirements.</p><p>• Support training initiatives for entry level team members in Collector I positions.</p><p>• Maintain detailed records of collections activities and prepare reports for management.</p><p>• Ensure adherence to hospital revenue cycle policies and procedures.</p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
<p>A growing healthcare services organization in Oceanside is seeking a detail-oriented <strong>Billing Clerk</strong> to support daily invoicing, patient account processing, and revenue tracking. This role plays a critical part in ensuring accurate billing practices and maintaining financial integrity across the organization. The ideal candidate is organized, analytical, and comfortable working in a fast-paced environment where accuracy and timeliness are essential.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare and process invoices for services rendered</li><li>Review billing documentation for accuracy and compliance</li><li>Post payments and reconcile customer accounts</li><li>Assist with resolving billing discrepancies and inquiries</li><li>Maintain organized billing records and digital files</li><li>Coordinate with accounting and administrative teams to ensure accurate reporting</li><li>Support month-end billing reconciliations</li><li>Generate basic reports for leadership review</li></ul>
<p>We are seeking a skilled Manager of Enrollment & Reconciliation to lead the Enrollment Department, maximizing efficiency, productivity, and performance for Medicare Advantage Plan operations. This individual will guide departmental teams in capturing, exchanging, and reporting data elements critical to business decisions and compliance. As the organization’s subject matter expert, you will ensure adherence to all CMS enrollment and reconciliation regulations. The role emphasizes collaboration with leaders across the business to resolve issues and drive operational improvements. Must have experience with Medicare Advantage. <strong>This role is hybrid (4 days remote & 1 day in office). </strong></p><p><br></p><p><strong>Key Functions & Responsibilities</strong></p><ul><li>Provide expert interpretation and application of Medicare Advantage Enrollment and Reconciliation rules, including CMS eligibility policy, effective/termination dates, retroactive adjustments, low-income subsidies, and payment reconciliation.</li><li>Oversee CMS MARx enrollment processing: manage transaction submissions, resolve rejections and retro adjustments, coordinate replacement transactions, and reconcile CMS response files to internal systems.</li><li>Lead enrollment and payment reconciliation governance with alignment across internal systems, CMS MARx data, and downstream vendors (PBM, claims, finance), ensuring timely identification, correction, and reporting of discrepancies.</li><li>Establish department priorities, strategies, and resource requirements to meet department goals; project staffing needs and budgetary resources.</li><li>Mentor, train, and develop department staff, building subject-matter expertise and leveraging available data for optimal outcomes.</li><li>Collaborate with cross-functional departments to identify and resolve complex issues involving internal/external systems, government data, and regulatory guidance. Lead analytical projects and implement best practices to improve data quality and efficiency.</li><li>Oversee audits and reconciliation activities, ensuring regulatory compliance and using findings to drive continuous improvement.</li><li>Maintain current knowledge of regulatory requirements and industry best practices; attend CMS training sessions and relevant industry meetings as needed.</li><li>Manage key performance indicators, department output, and goal achievement for the Enrollment & Reconciliation function.</li><li>Support brokers, IPA/PCPs, and other departments regarding eligibility, application processing, reporting, and data exchange troubleshooting.</li><li><strong>Must have experience with Medicare Advantage</strong></li></ul><p><br></p>
<p>Are you motivated, with attention to detail? This growing company is hiring a Medical Billing Specialist with strong behavioral health skills. The Medical Billing Specialist will be tasked with submitting claims to insurance companies for services rendered. The Medical Billing Specialist must be well versed with HMO, PPO and Government insurance. The right person for this role must have at least 3 years of medical billing and insurance collections experience. .</p><p> </p><p>Your responsibilities in this role</p><p> - EOB review and claims submission </p><p>- Send notices to insurance companies and patients for request for payment</p><p>- Manage elements of specific patient accounts, such as billing and reimbursement</p><p>- Coordinate with numerous working teams to guarantee quality of data and uniformity</p><p>- Behavioral Health or DMH is a big plus but not a must </p>
<p>A Healthcare Company is seeking a Medical Insurance Verification Specialist to join its team. The Medical Insurance Verification Specialist will help ensure timely and accurate verification of patient insurance coverage for our healthcare facility. We’re seeking Medical Insurance Verification Specialist with at least 2 years of relevant medical insurance verification experience. Bilingual Spanish skills are a plus. Familiarity with HMO, PPO, and government insurance plans is required; surgical scheduling or support is highly valued.</p><p>Responsibilities:</p><ul><li>Verify patient eligibility, coverage, and benefits for HMO, PPO, and government insurance plans</li><li>Communicate with insurance providers and patients to resolve coverage questions and discrepancies</li><li>Document all verification activities and update patient records accurately</li><li>Collaborate with clinical and administrative staff to ensure appropriate coverage for planned procedures, including surgery</li><li>Assist patients in understanding their insurance benefits and any out-of-pocket costs</li></ul><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement. </p>
<p>We are looking for a detail-oriented part time Billing/Administrative Assistant to join our team in Hawthorne, California. In this long-term contract role, you will play a critical part in managing billing processes, maintaining accurate records, and supporting administrative operations. This position requires strong organizational skills and the ability to handle repetitive tasks with precision.</p><p><br></p><p>Responsibilities:</p><p>• Process daily shipment billing and verify the accuracy of related documentation.</p><p>• Organize and maintain test reports and essential records in a systematic manner.</p><p>• Scan, file, and manage paperwork to ensure proper recordkeeping.</p><p>• Accurately input customer orders into the system.</p><p>• Assist with export compliance procedures and maintain required documentation.</p><p>• Coordinate truck schedules and oversee shipping logistics.</p><p>• Prepare FedEx shipping labels and collaborate with freight forwarders for timely deliveries.</p><p>• Provide general administrative support to ensure smooth daily operations.</p>
<p>We are looking for a dedicated Bilingual Case Manager to join our team in Los Angeles, California. In this long-term contract role, you will play a vital part in supporting program participants and providers, ensuring the smooth operation of administrative processes. This position offers an excellent opportunity to enhance your attention to detail while contributing to meaningful projects.</p><p><br></p><p>Responsibilities:</p><p>• Recruit participants and providers to successfully meet program goals.</p><p>• Organize and oversee special projects as directed by supervisors, ensuring timely completion.</p><p>• Manage enrollment, certification, and re-certification processes for program participants.</p><p>• Conduct audits of parent and provider files to ensure compliance and accuracy.</p><p>• Assist participants in resolving challenges related to employers, schools, children, and providers.</p><p>• Maintain and update contracts, forms, records, and reports for program participants and providers.</p><p>• Coordinate parent education initiatives and foster parent involvement in program activities.</p><p>• Ensure adherence to Community Care Licensing regulations and program-specific contractual requirements.</p><p>• Participate in departmental and agency meetings, workshops, and conferences to support the development of attention to detail.</p><p>• Refer enhanced cases to appropriate departments or resources for additional support.</p>
We are looking for an experienced HR Business Partner to join our team in Glendale, California. This part-time, contract-to-permanent role requires a detail-oriented individual who can provide comprehensive human resources support, including compliance with federal and California employment laws. The successful candidate will oversee essential HR functions such as onboarding, offboarding, benefits administration, employee relations, leave management, and terminations, while fostering a positive and legally compliant workplace environment.<br><br>Responsibilities:<br>• Oversee the onboarding process, including preparing offer letters, facilitating orientation, and ensuring completion of required employment documentation.<br>• Manage offboarding procedures, such as conducting exit interviews, processing final paychecks, and coordinating benefits termination.<br>• Administer employee benefits programs, including medical, dental, vision, and 401(k) plans, and handle open enrollment and life event changes.<br>• Address workplace issues with guidance and conflict resolution, conduct investigations, and draft performance improvement plans.<br>• Provide expertise in leave of absence management, including tracking eligibility, coordinating accommodations, and managing return-to-work processes.<br>• Develop strategies for terminations by conducting risk assessments, reviewing documentation, and responding to unemployment claims.<br>• Ensure compliance with labor laws by maintaining accurate records and applying HR policies consistently.<br>• Partner with leadership to align HR practices with organizational goals and foster a productive workplace.<br>• Coordinate background checks and pre-employment screenings to ensure candidate suitability.<br>• Serve as the primary HR resource, making independent decisions and maintaining confidentiality in all matters.
<p>A Medical Center in Los Angeles is looking for a dedicated Surgery Medical Biller/Collections Specialist. This Surgery Medical Biller/Collections Specialist involves managing claim submissions, addressing denials, and ensuring the accuracy of billing processes to optimize reimbursement. The ideal candidate will bring expertise in medical billing, collections, denial management, and appeals, as well as familiarity with Epic billing workflows. </p><p><br></p><p>Responsibilities:</p><p>• Address and correct front-end edits and clearinghouse errors to facilitate clean claim processing.</p><p>• AR Insurance follow up via phone and online web portals. </p><p>• Submit electronic claims in compliance with specific payer guidelines and requirements.</p><p>• Manage timely corrections, rebills, and resubmissions of claims to resolve outstanding issues.</p><p>• Handle claim attachments and supporting documentation to meet payer requirements.</p><p>• Investigate and resolve denials by preparing appeals with appropriate clinical, coding, and billing documentation.</p><p>• Coordinate outreach to payers for unresolved or aged claims and follow up on outstanding accounts.</p><p>• Collaborate with patient access and coding teams to address discrepancies and ensure billing accuracy.</p><p>• Monitor payer trends, escalate systemic issues, and recommend improvements to prevent recurring denials.</p><p>• Verify patient information, including demographics, insurance coverage, and authorization details, to ensure claims are accurate before submission.</p><p>• Assist leadership with high-dollar or time-sensitive accounts to ensure timely resolution.</p>
<p>We are looking for a detail-oriented Billing Specialist to join our team for a contract position based in Century City, California. In this role, you will utilize your technical expertise and proficiency in Microsoft Excel to support various accounting projects and tasks. This is an excellent opportunity for someone eager to contribute to a dynamic environment while enhancing their skills in data management and financial processes.</p><p><br></p><p>Responsibilities:</p><p>• Support the preparation and organization of timekeeping data for system uploads.</p><p>• Assist in special projects involving spreadsheet creation and data analysis.</p><p>• Verify and reconcile staff information to ensure accuracy in reports.</p><p>• Generate automation reports and compile financial data for review.</p><p>• Manage accounts payable and accounts receivable tasks efficiently.</p><p>• Process invoices and ensure timely data entry into accounting systems.</p><p>• Perform bank account reconciliations to maintain accurate financial records.</p><p>• Utilize Microsoft Excel to create and maintain detailed spreadsheets.</p><p>• Collaborate with team members to resolve discrepancies and improve workflow efficiency</p><p><br></p><p>This is a fully on-site role in Century City, hours are flexible, this is a contract position with potential to go contract-to-hire, pay is based on experienced between $25-$28 an hour.</p>
We are looking for a detail-oriented Billing Clerk to join our team in Los Angeles, California. In this Contract to permanent position, you will play a key role in managing billing operations in a high-volume and fast-paced environment. This role requires strong organizational skills and proficiency in computerized billing systems.<br><br>Responsibilities:<br>• Process and generate invoices with accuracy and timeliness.<br>• Review and reconcile billing statements to ensure completeness and compliance.<br>• Collaborate with team members to address billing discrepancies and resolve issues.<br>• Maintain and update billing records in an ERP system.<br>• Monitor and manage collections, ensuring timely follow-ups as necessary.<br>• Prepare reports on billing activities and share insights with management.<br>• Verify customer account details to ensure proper billing procedures.<br>• Communicate with clients regarding billing inquiries and provide clear resolutions.<br>• Assist in streamlining billing processes to improve efficiency.
