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11 results for Insurance Verification Specialist in Riverside, CA

Hospital Admitting Specialist

Tustin, CA
onsite
Temporary to Hire
25.00 - 29.00 USD / Hourly
A Hospital in Tustin is in the need of Hospital Admitting Specialist to its Emergency Department team. The Hospital Admitting Specialist will play a pivotal role in ensuring patients are registered efficiently and accurately during critical moments. The Hospital Admitting Specialist will be tasked with admitting patients, collecting demographics and insurance information. This role requires strong communication skills, empathy, and the ability to thrive in a fast-paced healthcare environment. Responsibilities:• Welcome patients and their families to the Emergency Department with professionalism and empathy.• Collect and validate patient demographic and insurance information to ensure accuracy.• Obtain and securely scan necessary documents, including identification and insurance cards.• Explain financial responsibilities such as co-payments and assist patients with payment collection.• Accurately input patient data into the electronic health record system.• Collaborate with clinical staff to facilitate smooth patient flow and minimize delays.• Address patient and visitor inquiries with a calm and supportive demeanor.• Adhere to hospital policies and maintain compliance with organizational standards.• Perform additional administrative tasks as required to support the department. Schedule: 40 hours/week; rotating weekendsShift: 2:00pm – 10:30pm
2026-07-02T17:30:09Z

Medical Biller/Collections Specialist

Pomona, CA
onsite
Temporary / Contract
19.79 - 22.91 USD / Hourly
We are looking for a detail-oriented Medical Biller/Collections Specialist to support Federally Qualified Health Care revenue cycle operations for a healthcare organization in Pomona, California. This Contract position focuses on accurate payment posting, insurance follow-up, and claim submission activities that help maintain timely reimbursement and organized financial records. The ideal candidate brings hands-on experience with medical billing processes, payer communication, and month-end reporting in a fast-paced healthcare environment. Responsibilities:• Process and record electronic and insurance payments with precision by reviewing remittance information and applying payments to the appropriate accounts.• Retrieve and interpret electronic remittance advice data to ensure transactions are posted correctly and discrepancies are identified promptly.• Prepare and maintain monthly Excel-based reports that summarize billing activity, payment trends, and collection results for operational review.• Submit claims electronically through clearinghouse platforms while monitoring transmission status and addressing any rejected files.• Review medical coding details, including ICD and CPT information, to support accurate billing and reduce claim errors.• Conduct follow-up with payers on outstanding balances, delayed reimbursements, and unresolved accounts to improve collections performance.• Investigate denied claims, determine the cause of non-payment, and take corrective action to support timely resolution.• Develop and submit appeals with appropriate documentation when claims require reconsideration by insurance carriers.
2026-07-02T17:30:09Z

Medical Referral Coordinator

Los Angeles, CA
onsite
Temporary to Hire
21.29 - 25.12 USD / Hourly
A Hospital in Los Angeles is in the need of a Medical Referral Coordinator. The Medical Referral Coordinator is responsible for managing all patient referrals to specialists, diagnostic testing, and outside healthcare providers. This role ensures timely and accurate coordination of referrals, prior authorizations, and follow-up, while maintaining excellent communication with patients, providers, and insurance companies. The Medical Referral Coordinator plays a key role in supporting continuity of care and enhancing the patient experience. ESSENTIAL DUTIES AND RESPONSIBILITIES:• Receive, review, and process all provider referral requests.• Verify patient insurance eligibility and benefits related to referrals and authorizations.• Obtain prior authorizations from insurance companies as required.• May schedule referral appointments directly on behalf of patient, as needed.• Track and follow up on referrals to confirm appointment completion and ensure receipt of consult/specialty notes in a timely manner. • Ensure referrals are addressed and closed in a timely manner, as determined in relevant policies and procedures.• Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.• Coordinates with clinical team on patient inquiries regarding referral.• Maintain accurate and up-to-date referral logs and documentation in the electronic health record (EHR). • Responsible to audit information entered in EHR to ensure compliance with capturing necessary data as required by reporting agencies (i.e. Meaningful Use, etc.).• Communicate with providers regarding referral status, barriers, or delays.• Communicate with Supervisor when unable to process all referrals or follow-ups to avoid delays.• Serve as a patient advocate by providing education and guidance regarding referral processes and answer patient questions and address concerns.• Ensure compliance with requirements of HIPAA, OSHA, other application regulations and all agency/clinic policies and protocols.• Complete and comply with all mandatory trainings• Participate in staff meetings, agency meetings, planning meetings, and other meetings as needed.• Prepare and submit monthly reports of activities as requested.• Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers. • Participate in quality improvement initiatives related to referral management, providing feedback and suggestions to streamline processes and enhance patient care.
2026-07-17T17:38:43Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
24.00 - 28.99 USD / Hourly
A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up. Key Responsibilities: Submit accurate and timely medical claims to insurance carriers and government payers Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies Work accounts receivable reports and maintain collection efforts to reduce outstanding balances Investigate claim rejections and denials, and take corrective action for resubmission or appeal Post payments, adjustments, and denials as needed Communicate with payers, patients, and internal staff regarding billing questions and account resolution Maintain compliance with billing regulations, payer requirements, and organizational policies Support revenue cycle activities including claims review, payment reconciliation, and account research Document collection activity and account status updates accurately in the billing system
2026-07-17T17:38:43Z

Medical Billing Specialist

Beverly Hills, CA
onsite
Temporary / Contract
22.96 - 26.59 USD / Hourly
A well-established and highly regarded surgical practice in Beverly Hills is seeking an experienced Medical Billing Specialist to join its team immediately. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced medical environment and is passionate about ensuring accurate claims processing and timely reimbursement. The Medical Billing Specialist will be responsible for managing the full billing cycle, including reviewing Explanation of Benefits (EOBs), verifying patient demographics and insurance information, entering billing and procedure details, submitting and following up on Medicare claims, and resolving claim discrepancies. The ideal candidate will have experience navigating Medicare web portals and be proficient with Availity and/or Noridian. Additional responsibilities include tracking claim status and payments in Excel, researching denied or underpaid claims, communicating with insurance carriers regarding reimbursement issues, and maintaining accurate billing documentation while ensuring compliance with Medicare guidelines. Qualified candidates should have previous medical billing experience, strong knowledge of Medicare billing processes, proficiency with Availity and/or Noridian, intermediate Excel skills, and exceptional attention to detail. The ability to prioritize multiple tasks, work independently, and meet deadlines while maintaining a high level of accuracy is essential. If you are a motivated Medical Billing Specialist looking to join a respected surgical practice that values accuracy, teamwork, and exceptional patient support, we encourage you to apply today.
2026-07-16T16:58:41Z

Medical Biller

Los Angeles, CA
remote
Temporary / Contract
27.00 - 30.00 USD / Hourly
Seeking an experienced Medical Biller to support the full revenue cycle by ensuring accurate claim submission, timely reimbursement, and effective follow-up with insurance carriers. The ideal candidate will have strong knowledge of medical billing processes, payer guidelines, and denial resolution in a fast-paced outpatient healthcare environment.Key Responsibilities<ul><li>Submit electronic and paper claims accurately and in a timely manner.</li><li>Review claims for completeness and billing accuracy prior to submission.</li><li>Follow up with commercial insurance, Medicare, Medi-Cal, Workers' Compensation, and PPO/HMO payers on unpaid or denied claims.</li><li>Research, appeal, and resolve claim denials and payment discrepancies.</li><li>Post insurance and patient payments, adjustments, and contractual write-offs.</li><li>Verify patient insurance eligibility and benefits as needed.</li><li>Reconcile accounts and maintain accurate patient billing records.</li><li>Work aging reports to reduce outstanding accounts receivable.</li><li>Communicate with patients regarding balances, payment plans, and billing questions.</li><li>Collaborate with providers, front office staff, and coding teams to resolve billing issues.</li><li>Maintain compliance with HIPAA, CPT, ICD-10, HCPCS, and payer regulations.</li></ul>
2026-07-13T17:43:36Z

Medical Biller/Collector

Los Angeles, CA
onsite
Temporary to Hire
25.01 - 30.12 USD / Hourly
A Medical Business Office seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up. The Medical Biller/Collector must have EPIC software experience. Key Responsibilities: <ul><li>Submit accurate and timely medical claims to insurance carriers and government payers</li><li>Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies</li><li>Work accounts receivable reports and maintain collection efforts to reduce outstanding balances</li><li>Investigate claim rejections and denials, and take corrective action for resubmission or appeal</li><li>Post payments, adjustments, and denials as needed</li><li>Communicate with payers, patients, and internal staff regarding billing questions and account resolution</li><li>Maintain compliance with billing regulations, payer requirements, and organizational policies</li><li>Support revenue cycle activities including claims review, payment reconciliation, and account research</li><li>Document collection activity and account status updates accurately in the billing system</li><li>Must have EPIC software experience.</li></ul>
2026-07-02T17:30:09Z

Billing Specialst

Oceanside, CA
onsite
Temporary / Contract
24.00 - 30.00 USD / Hourly
Robert Half is partnering with a well-established North County San Diego company seeking an experienced Billing Specialist to support its growing accounting operations. This role is ideal for someone who thrives in a fast-paced environment, enjoys working with customers and internal stakeholders, and takes pride in ensuring billing accuracy. The organization offers a positive team culture, stable leadership, and opportunities for advancement within the accounting and finance department.Key Responsibilities<ul><li>Prepare and process customer invoices</li><li>Review billing documentation for completeness and accuracy</li><li>Research and resolve billing discrepancies</li><li>Communicate with customers regarding invoice questions</li><li>Maintain billing records and supporting documentation</li><li>Assist with accounts receivable collections activities</li><li>Process billing adjustments and credit memos</li><li>Reconcile customer accounts</li><li>Generate billing reports for management review</li><li>Support month-end close related billing activities</li></ul>
2026-07-08T21:53:36Z

Hospital Medical Biller Collector

Los Angeles, CA
onsite
Temporary to Hire
26.00 - 32.00 USD / Hourly
We are looking for an experienced Hospital Medical Biller Collector to support a healthcare organization’s revenue cycle operations in Los Angeles, California. This contract position with permanent potential is ideal for someone who understands hospital insurance follow-up, knows how to work complex outstanding claims, and can drive timely reimbursement through accurate research and persistent payer communication. The person in this role will play an important part in reducing aged receivables, addressing claim barriers, and partnering with internal teams to improve payment outcomes. Responsibilities: • Pursue follow-up activities on unpaid and underpaid hospital insurance claims, with particular attention to major commercial and government payer accounts. • Review UB04 claim details for accuracy and take action to correct billing issues that may delay or prevent reimbursement. • Analyze denials, rejected claims, partial payments, and stalled accounts to identify root causes and move balances toward resolution. • Prepare and submit corrected claims, reconsiderations, and appeal documentation to support payment recovery. • Manage aging accounts receivable by prioritizing outstanding balances and maintaining production standards established by the department. • Record account activity, payer responses, and collection progress thoroughly within the billing platform. • Work closely with billing, coding, and patient financial services partners to resolve discrepancies affecting claim payment. • Track recurring payer behavior and elevate persistent reimbursement issues when broader action is needed.
2026-07-16T16:58:41Z

Billing Clerk

Culver City, CA
onsite
Temporary / Contract
25.00 - 31.00 USD / Hourly
We are looking for a detail-oriented Billing Clerk to support contract-based billing operations in Culver City. This contract to hire position plays an important role in managing invoice activity, verifying billing information, and helping maintain accuracy in a fast-moving environment with substantial transaction volume. The person in this role will work closely with operations and other internal partners to keep billing records current, resolve issues efficiently, and support day-to-day processing needs. Responsibilities:• Create customer invoices and credit adjustments accurately and in a timely manner.• Review billing inputs received from internal teams to confirm completeness and correctness before processing.• Compare invoice details against supporting records to ensure charges align with source documentation.• Submit billing documents through customer portals and electronic invoicing platforms as needed.• Investigate billing inconsistencies and elevate unresolved issues to the appropriate stakeholders.• Organize and maintain billing files, records, and related documentation for easy retrieval and audit readiness.• Partner with Operations, coordinators, administrators, and other teams to support smooth billing workflows.• Adjust to changing procedures, manual workarounds, and additional assigned tasks within evolving systems and processes.
2026-06-17T23:43:43Z

Billing Analyst

Costa Mesa, CA
onsite
Temporary to Hire
35.00 - 42.00 USD / Hourly
Are you a numbers-driven professional who thrives on turning data into clarity and keeping business operations running smoothly? We’re partnering with a dynamic, growth-oriented company in Costa Mesa to add a Billing Analyst to their team on a contract-to-hire basis. This is an opportunity to step into a highly visible role where your accuracy, insight, and collaboration directly impact financial operations and client relationships.If you enjoy digging into data, solving problems, and partnering cross-functionally, this role offers the perfect blend of analytics, client interaction, and process improvement. What You’ll Do<ul><li>Own the billing cycle: Take charge of end-to-end invoicing—from preparation to final review—ensuring accuracy, timeliness, and compliance.</li><li>Drive AR performance: Monitor receivables, investigate discrepancies, and support collections to keep cash flow strong and accounts current.</li><li>Turn data into insights: Analyze billing activity, WIP, and account trends to identify issues, improve reporting, and support better decision-making.</li><li>Leverage Excel expertise: Utilize advanced functions (pivot tables, SUMIFS, etc.) to reconcile data, build reports, and streamline processes.</li><li>Partner with stakeholders: Collaborate with clients and internal teams to resolve billing questions, provide updates, and deliver a seamless experience.</li><li>Elevate the customer experience: Respond to inquiries related to invoices, payments, and account details with professionalism and urgency.</li><li>Maintain audit-ready records: Ensure billing data is accurate, organized, and up to date within internal systems.</li><li>Thrive in a fast-paced environment: Balance multiple priorities while meeting deadlines and maintaining exceptional attention to detail.</li></ul>Why This Role Stands Out<ul><li>Contract-to-hire opportunity with long-term potential</li><li>High-impact, visible role supporting key financial operations</li><li>Collaborative environment with strong cross-functional exposure</li><li>Opportunity to enhance reporting and influence process improvements</li></ul>
2026-06-25T04:33:48Z