<p>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.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><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><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus.</p><p><br></p><p>Responsibilities:</p><p>• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.</p><p>• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.</p><p>• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.</p><p>• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.</p><p>• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.</p><p>• Maintain secure and compliant records of Protected Health Information used in billing activities.</p><p>• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.</p><p>• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.</p><p>• Collaborate with internal teams to streamline billing processes and improve efficiency.</p>
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.<br><br>Responsibilities:<br>• Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections.<br>• Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers.<br>• Conduct quality assurance checks and audits of billing tasks performed by team members.<br>• Handle out-of-network billing and provide support for concierge-model practices.<br>• Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog.<br>• Assist with collections and reimbursement strategies to optimize revenue.<br>• Maintain detailed and accurate billing records, including comprehensive account documentation.<br>• Ensure compliance with payer policies, industry standards, and internal workflows.<br>• Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
<p>We are looking for an experienced Medical Billing Support Services to join a Hospital in Los Angeles, California. The Medical Billing Support Services play a critical part in ensuring the efficiency and accuracy of cash receipt processing, billing, and collections within the healthcare industry. This position offers an opportunity to work collaboratively across departments to optimize revenue cycle operations while maintaining compliance and quality standards. The Medical Billing Support Services will be a hybrid remote role. </p><p><br></p><p>Responsibilities:</p><p>• Process cash receipts, both automated and manual, ensuring accuracy and adherence to billing systems and procedures.</p><p>• Investigate and resolve issues related to unapplied cash receipts, escalating complex cases when necessary.</p><p>• Review and analyze patient eligibility and pending recoupment statuses to take appropriate actions.</p><p>• Evaluate credit balances and issue timely refunds to payers with accuracy.</p><p>• Collaborate with Finance and other Revenue Cycle teams to improve cash posting, reconciliation, and balancing processes.</p><p>• Communicate payment posting and refund-related issues to management for prompt resolution.</p><p>• Verify payer information, resubmit claims, and ensure proper application of payments.</p><p>• Perform cross-trained tasks such as charge entry, insurance eligibility verification, and resolving billing edits.</p><p>• Handle customer service interactions, addressing patient payment concerns and resolving self-pay credit balances.</p><p>• Participate in special projects, including audits, compliance reviews, and unique billing and collections scenarios.</p>
<p>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.</p><p><br></p><p>Key Responsibilities:</p><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><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 Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. </p><p><br></p><p>DUTIES AND RESPONSIBILITIES</p><p> -Performs full cycle billing and collection functions for Surgical professional fees</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission</p><p> -Performs all data entry and charge posting functions for surgical services as needed </p><p> -Performs all third party follow-up functions for all products and surgical procedures.</p><p> -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments</p><p> -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p> -Provides the correct ICD-10M code to identify the provider's narrative diagnosis</p><p> -Provides the correct HCPCS code to identify medications and supplies </p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p> - Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons</p>
<p>A leading hospital in the San Fernando Valley is seeking a dedicated Hospital Medical Billing Collections Specialist to join its team. In this role, you will oversee all aspects of the hospital's billing and collections processes, ensuring timely and accurate reimbursement. You will be responsible for managing billing activities and collections for Medicare managed care, commercial insurance, PPO/HMO, and Medi-Cal managed care accounts. This position requires strong attention to detail, a deep understanding of healthcare billing guidelines, and the ability to work collaboratively with internal departments and insurance payers to resolve outstanding claims.</p><p><br></p><p>Responsibilities:</p><p>• Conduct hospital billing and collection processes with accuracy and efficiency</p><p>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care</p><p>• Provide training for Collector I positions</p><p>• Appeals and denials management.</p><p>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role</p><p>• Oversee the management of insurance correspondence and maintain accurate records</p><p>• Monitor patient accounts and take appropriate action to collect insurance payments.</p>
<p>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. </p><p>Essential Duties:</p><p>• 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.</p><p>• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.</p><p>• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.</p><p>• Reverses balance to credit or debit if charges were improperly billed.</p><p>• Contacts insurance carriers as necessary to determine correct payment application.</p><p>• 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.</p><p>• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.</p><p>• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.</p><p>• Communicates issues related to payment posting and refunds from payers to management.</p><p>• Updates correct payer and resubmits claims to the payers.</p><p>• Consistently meets/exceeds productivity and quality standards.</p><p>• 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.</p><p>• 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.</p><p>• 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.</p><p>• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.</p><p>• Special billing and collections for LOAs.</p><p>• Special billing and collections for Case Rates.</p><p>• Special billing and collections for Embassy Services.</p><p>• Performs other related duties as assigned by management team.</p>
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. <br> The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. <br> Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
<p>The Medical Data Entry Clerk is responsible for accurately entering, updating, and maintaining patient, insurance, and administrative data within the organization’s Electronic Health Record (EHR) and related systems. This role supports clinical, billing, and administrative teams by ensuring healthcare records are complete, organized, and compliant with regulatory requirements. This is an entry‑level healthcare administrative role well‑suited for detail‑oriented candidates with strong data entry and organizational skills.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Enter and update <strong>patient demographic, insurance, and administrative data</strong> into EHR and internal systems</li><li>Review records for <strong>accuracy, completeness, and consistency</strong></li><li>Maintain and organize <strong>electronic medical and financial files</strong></li><li>Perform routine <strong>data audits and corrections</strong> as needed</li><li>Assist with tracking, reporting, and spreadsheet updates using <strong>Microsoft Excel</strong></li><li>Follow established procedures to ensure <strong>HIPAA compliance and data confidentiality</strong></li><li>Communicate with internal teams to resolve data discrepancies or missing information</li><li>Support additional administrative or data‑related tasks as assigned</li></ul><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p><p><br></p><p><br></p>
<p>A Healthcare Company in La Puente is in need of a Part Time OBGYN Medical Biller. The Part Time OBGYN Medical Biller must experienced medical billing professional who understands medical insurance and reimbursement processes.</p><p>Responsibilities:</p><ul><li>Accurately enter and process medical bills for OBGYN visits, procedures, and ancillary services</li><li>Review and validate ICD-10, CPT, and HCPCS codes specific to OBGYN care</li><li>Ensure compliance with Medi-Cal guidelines and regulations for claims submission</li><li>Track, follow up, and resolve denials and rejections for Medi-Cal claims</li><li>Maintain clear communication with providers, payers, and patients regarding billing issues</li><li>Collaborate with clinical and administrative staff to ensure proper documentation</li><li>Generate and review monthly billing reports for accuracy and completeness</li></ul><p><br></p>
We are looking for a dedicated Medical Front Desk Specialist to join our team in Beverly Hills, California. In this contract position, you will play a vital role in ensuring smooth front desk operations while delivering exceptional service to patients. If you thrive in a fast-paced medical office environment and have a passion for patient care, we encourage you to apply.<br><br>Responsibilities:<br>• Welcome patients with professionalism and courtesy, ensuring a positive first impression.<br>• Schedule, confirm, and adjust appointments using medical scheduling software, while assisting with follow-up bookings.<br>• Communicate office policies and procedures clearly to patients, addressing any questions or concerns.<br>• Process and verify patient documentation and insurance information with accuracy and confidentiality.<br>• Maintain and update patient records to ensure compliance with medical regulations and timely data entry.<br>• Manage leads by contacting patients or potential clients to coordinate follow-up appointments.<br>• Collaborate with staff to ensure seamless scheduling and coordination of appointments.<br>• Provide administrative support to office management and medical staff as needed.
<p>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.</p><p>Responsibilities:</p><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><p><br></p>
<p>The Patient Financial Data Coordinator supports the Patient Financial Services team by assisting with Medi‑Cal eligibility verification, insurance documentation, data tracking, and EHR data entry. This is an entry‑level healthcare administrative role ideal for candidates with strong attention to detail, Excel skills, and an interest in healthcare operations. The role works closely with clinical and billing teams to ensure accurate financial documentation and compliance with regulatory requirements.</p><p><br></p><p><strong>Key Responsibilites:</strong></p><ul><li>Verify Medi‑Cal eligibility and support determination of patient financial responsibility</li><li>Maintain enrollment, re‑certification, and tracking logs using Excel and internal systems</li><li>Create, update, and manage Electronic Payor Financial Information (E‑PFI) records within the EHR</li><li>Collect, organize, and follow up on required patient financial and insurance documentation</li><li>Maintain electronic insurance and EOB files for private insurance clients</li><li>Perform daily data entry, record maintenance, and routine audits for accuracy and compliance</li><li>Support discharge reviews and UNDAP determinations as assigned</li><li>Cross‑train within the department and assist with process improvements as needed</li></ul><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p><p><br></p><p><br></p>