<p>Robert Half is looking for a skilled Liability Claims Coordinator to join our client in Santa Ana, California. In this long-term contract position, you will play a vital role in managing liability claims, ensuring accurate documentation, and providing essential administrative support. This position is fully on-site with a unique schedule of 6am-3pm. </p><p><br></p><p>Responsibilities:</p><p>• Manage liability claims efficiently, ensuring proper documentation and timely processing.</p><p>• Perform detailed data entry to maintain accurate records and track case progress.</p><p>• Collaborate with internal teams to support auto defense and workers compensation claims.</p><p>• Conduct intake calls and gather information from clients.</p><p>• Monitor claim statuses and follow up as needed to ensure resolution.</p><p>• Analyze claims data to identify trends and improve processes.</p><p>• Maintain compliance with legal and organizational standards throughout the claims process.</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>
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>A personal injury law firm is looking for a dedicated Case Manager to join their team for an estimate of 1 month on a contract basis in West Los Angeles. This role involves managing case-related tasks with a focus on ordering medical records and providing administrative support.</p><p><br></p><p><strong>Responsibilities</strong>:</p><p>• Coordinate and manage the process of ordering medical records for legal cases.</p><p>• Provide comprehensive administrative support to ensure the efficient handling of case-related matters.</p><p>• Organize and maintain accurate records, including electronic filing of legal documents.</p><p>• Assist in abstracting medical records and compiling relevant data for case analysis.</p><p>• Collaborate with legal professionals to ensure cases are prepared and managed effectively.</p>
We are looking for a dedicated Case Manager to join our team in San Pedro, California, supporting a non-profit organization. In this Contract to permanent employment role, you will play a key part in assisting individuals and families by providing tailored behavioral health services. This position offers a meaningful opportunity to make a difference in the lives of those in need while working collaboratively with clients and their support networks.<br><br>Responsibilities:<br>• Conduct initial screenings and comprehensive mental health assessments to identify service needs and recommend appropriate care options.<br>• Share assessment results with clients and their families, ensuring clear communication and understanding.<br>• Collaborate with clients and their families to develop personalized treatment plans that include actionable goals, objectives, and interventions.<br>• Provide individual, family, and group therapy sessions to address identified behavioral health needs.<br>• Maintain detailed and accurate records of client progress and treatment plans.<br>• Offer ongoing case management services to ensure clients receive consistent and effective support.<br>• Act as a liaison between clients and community resources to enhance access to services.<br>• Monitor and evaluate the effectiveness of treatment plans, adjusting strategies as needed to achieve optimal outcomes.<br>• Communicate effectively with multidisciplinary teams to coordinate care and ensure alignment of services.
<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>The Medical Biller & Collections Specialist is responsible for managing the full revenue cycle process to ensure timely and accurate reimbursement for services rendered. This role supports the financial health of the organization by overseeing insurance billing, payment posting, and patient account follow-up while maintaining strict compliance with healthcare regulations.</p><p><br></p><p>The specialist prepares, submits, and monitors insurance claims to commercial payers, Medicaid, and other applicable programs, ensuring claims are accurate, complete, and compliant with payer requirements. They research and resolve denied or underpaid claims, submit appeals when necessary, and communicate effectively with insurance companies to secure proper reimbursement.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Submit, review, and track medical claims for timely reimbursement</li><li>Post insurance and patient payments accurately</li><li>Investigate and resolve claim denials, rejections, and underpayments</li><li>Submit appeals and supporting documentation as required</li><li>Manage patient balances, collections, and payment plans</li><li>Communicate with insurance carriers and patients regarding billing inquiries</li><li>Maintain accurate billing records and documentation</li><li>Ensure compliance with HIPAA and payer guidelines</li></ul>
<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 Behavioral Health Company in Long Beach is in the need of a Lead ABA Medical Biller with DMH experience. The Lead ABA Medical Biller will oversee the daily operations of the billing department and ensure compliance with mental health contract requirements. The Lead ABA Medical Biller 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>
