4 results for Claims Processor Healthcare in Pasadena, CA

Payments Claim Specialist

Los Angeles, CA
onsite
Temporary
20 - 23 USD / Hourly
We are looking for a detail-oriented Payments Claim Specialist to join our team in Los Angeles, CA, This position offers an excellent opportunity to contribute to claim administration and payment processing operations in the fraud department within a dynamic and fast-paced environment. The ideal candidate will demonstrate expertise in handling disputes, ensuring compliance with regulatory standards, and maintaining high-quality standards in financial processes. Responsibilities:• Process and manage claims related to payments, ensuring accuracy and adherence to established policies.• Conduct thorough investigations of disputes and chargebacks to resolve issues promptly.• Monitor and enforce compliance with regulatory requirements related to claim administration.• Prepare detailed reports and metrics to track progress and performance.• Collaborate with clients to address concerns and maintain strong relationships.• Perform quality checks on claims to ensure accuracy and compliance with procedures.• Review ledgers, debits, and credits to identify and address discrepancies.• Support fraud investigations by analyzing claims and payment processes.• Maintain organized records and documentation for auditing and reporting purposes.
2026-03-11T00:00:00Z

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.
2026-04-01T00:00:00Z

Patient Financial Data Coordinator

Long Beach, CA
onsite
Temporary
21 - 30 USD / Hourly
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. Key Responsibilites:<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>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-20T00:00:00Z