8 results for Benefits Specialist in Riverside, CA

Medical Billing Specialist

La Puente, CA
onsite
Contract / Temporary to Hire
23.75 - 28.23 USD / Hourly
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. Responsibilities:• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.• Maintain secure and compliant records of Protected Health Information used in billing activities.• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.• Collaborate with internal teams to streamline billing processes and improve efficiency.
2026-03-12T00:00:00Z

Medical Eligibility Specialist

Long Beach, CA
onsite
Contract / Temporary to Hire
18.2115 - 23 USD / Hourly
A Medical Center in Long Beach is in the immediate need of Medical Eligibility Specialist. The Medical Eligibility Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Eligibility Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance. Responsibilities:• Conduct financial screenings for incoming clients to determine eligibility and financial liability.• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.• Maintain and update client financial records in electronic health record systems.• Organize and track annual re-evaluations of client financial information.• Follow up with clinical staff to ensure completion of required documentation for financial folders.• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).• Audit financial folders upon client discharge to ensure compliance and accuracy.
2026-03-12T00:00:00Z

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary
21 - 24 USD / Hourly
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. 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. 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.
2026-03-11T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Contract / Temporary to Hire
25.19 - 31.91 USD / Hourly
A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience, Responsibilities: 1. Investigating and resolving denied claims from various insurance providers. 2. Reviewing credit balances and denials management. 3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing. 4. Follow up on outstanding claim denials and secure reimbursement where possible. 5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies. 6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates. 7. Submit appeals and reconsideration requests to insurance companies for denied claims. 8. Strong understanding of HMO and PPO.
2026-03-11T00:00:00Z

Lead Medical Billing Specialist (Behavioral Health)

Long Beach, CA
onsite
Temporary
25 - 30 USD / Hourly
A growing Behavioral Health Company is hiring a Lead 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. . Your responsibilities in this role - EOB review and claims submission- Send notices to insurance companies and patients for request for payment- Manage elements of specific patient accounts, such as billing and reimbursement- Coordinate with numerous working teams to guarantee quality of data and uniformity- Behavioral Health or DMH is a big plus but not a must
2026-02-28T00:00:00Z

Lead Medical Billing Specialist (Behavioral Health)

Long Beach, CA
onsite
Temporary
25 - 30 USD / Hourly
A growing Behavioral Health Company is hiring a Lead 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. . Your responsibilities in this role - EOB review and claims submission- Send notices to insurance companies and patients for request for payment- Manage elements of specific patient accounts, such as billing and reimbursement- Coordinate with numerous working teams to guarantee quality of data and uniformity- Behavioral Health or DMH is a big plus but not a must
2026-02-28T00:00:00Z

HR Specialist

Pasadena, CA
onsite
Temporary
25 - 30 USD / Hourly
We are looking for an experienced HR Specialist to join our team in Pasadena, California. This Contract position offers a hybrid work environment, requiring on-site presence three days a week, including Thursdays, with flexibility for other days. The ideal candidate will bring expertise in human resources administration and a strong ability to manage HR processes effectively. Responsibilities:• Oversee the administration of HR functions, including onboarding, employee relations, and compliance with company policies.• Manage and maintain HRIS systems to ensure accurate data tracking and reporting.• Provide support and guidance to employees regarding HR matters, ensuring a positive and productive work environment.• Coordinate onboarding processes and ensure smooth transitions for new hires.• Foster strong employee relations by addressing concerns and resolving conflicts with attention to detail.• Ensure compliance with HIPAA regulations and other applicable laws.• Collaborate with cross-functional teams to support HR initiatives and organizational goals.• Develop and implement HR policies and procedures to improve efficiency and maintain compliance.• Analyze HR data and metrics to provide insights and recommendations to leadership.• Assist with other HR-related tasks as needed to support the team's success
2026-03-10T00:00:00Z

Payroll Specialist

Irvine, CA
onsite
Temporary
30 - 34 USD / Hourly
We are looking for a skilled Payroll Specialist to join our team on a contract basis in Irvine, California. This role involves managing payroll processes for a large workforce and ensuring compliance across multiple states. If you have strong expertise in payroll systems and a keen eye for detail, this opportunity is ideal for you. Responsibilities: • Process full-cycle payroll for over 1,000 employees, ensuring accuracy and timeliness. • Manage multi-state payroll operations, adhering to local and federal regulations. • Utilize ADP Workforce Now to handle payroll tasks efficiently and effectively. • Maintain detailed employee records and resolve payroll discrepancies promptly. • Prepare and review payroll reports for internal and external stakeholders. • Collaborate with HR and finance teams to streamline payroll processes. • Ensure compliance with tax laws, wage regulations, and reporting requirements. • Provide support during audits by delivering accurate payroll data. • Address employee inquiries regarding payroll and resolve issues professionally. • Stay updated on changes in payroll regulations and implement them as needed.
2026-03-12T00:00:00Z