<p>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.</p><p><br></p><p>Responsibilities:</p><p>• Process and record electronic and insurance payments with precision by reviewing remittance information and applying payments to the appropriate accounts.</p><p>• Retrieve and interpret electronic remittance advice data to ensure transactions are posted correctly and discrepancies are identified promptly.</p><p>• Prepare and maintain monthly Excel-based reports that summarize billing activity, payment trends, and collection results for operational review.</p><p>• Submit claims electronically through clearinghouse platforms while monitoring transmission status and addressing any rejected files.</p><p>• Review medical coding details, including ICD and CPT information, to support accurate billing and reduce claim errors.</p><p>• Conduct follow-up with payers on outstanding balances, delayed reimbursements, and unresolved accounts to improve collections performance.</p><p>• Investigate denied claims, determine the cause of non-payment, and take corrective action to support timely resolution.</p><p>• Develop and submit appeals with appropriate documentation when claims require reconsideration by insurance carriers.</p>
<p>We are looking for a welcoming and organized detail-oriented individual to support front-desk operations for a busy healthcare setting in Huntington Beach, California. The Medical Receptionist plays an important role in creating a smooth patient experience by managing arrivals, coordinating appointments, and helping administrative workflows stay on track. The Medical Receptionist will work closely with the reception team of three to ensure patients are assisted promptly and accurately throughout the check-in process.</p><p><br></p><p>Responsibilities:</p><p>• Greet patients upon arrival and complete the check-in process efficiently while maintaining a courteous and attentive presence.</p><p>• Confirm insurance details and review health plan information to help ensure accurate patient registration.</p><p>• Collect copayments/deductibles and support front-desk financial procedures in line with office expectations.</p><p>• Prepare and organize patient charts ahead of scheduled visits so care teams have needed information ready.</p><p>• Arrange new, follow-up, and rescheduled appointments while helping maintain an orderly provider calendar.</p><p>• Partner with other reception staff to keep daily front-office operations running smoothly and consistently.</p><p>• Assist with outreach activities related to quality measures and attestation follow-up when needed.</p><p>• Respond to routine patient questions in person or by phone and direct concerns to the appropriate team members.</p>
<p>The <strong>Health Information Data Entry Clerk</strong> is responsible for accurately entering, updating, verifying, and maintaining patient and healthcare-related information within electronic health record (EHR) systems and organizational databases. This Health Information Data Entry Clerk supports the integrity of patient records, ensures data accuracy, and maintains strict confidentiality in compliance with HIPAA and applicable federal and state regulations. </p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Enter patient demographic, clinical, billing, and insurance information into electronic health record systems. Based on general knowledge.</li><li>Review documentation for completeness and accuracy prior to data entry. Based on general knowledge.</li><li>Update patient information promptly as changes occur. Based on general knowledge.</li><li>Verify data entered into systems for accuracy and completeness. Based on general knowledge.</li><li>Scan, index, and upload medical documentation into electronic records. Based on general knowledge.</li><li>Identify and correct data discrepancies; escalate unresolved issues to supervisors as needed. Based on general knowledge.</li><li>Collaborate with clinical, billing, and administrative staff to resolve documentation or record issues. Based on general knowledge.</li><li>Perform routine audits of entered data to identify errors or inconsistencies. Based on general knowledge.</li><li>Assist with generating routine departmental and operational reports. Based on general knowledge.</li><li>Ensure compliance with organizational documentation standards and recordkeeping procedures. Based on general knowledge.</li><li>Maintain strict confidentiality of protected health information (PHI). Based on general knowledge.</li><li>Adhere to HIPAA, 42 CFR Part 2, HITECH, and organizational privacy and security policies. Based on general knowledge.</li><li>Follow established procedures for handling and safeguarding sensitive information. Based on general knowledge.</li><li>Report potential privacy or security concerns promptly. Based on general knowledge.</li><li>Support departmental projects and special assignments as needed. Based on general knowledge.</li></ul><p><strong>Benefits:</strong> Health, Vision, Dental, 401k, and Sick Time Off. </p>