We are looking for an experienced Operations Specialist to join our team in City of Industry, California. This contract-to-permanent position is ideal for a motivated, detail-oriented candidate with a strong background in import operations and customer service. The role requires a proactive individual who can manage complex shipments, collaborate with cross-functional teams, and ensure exceptional service delivery.<br><br>Responsibilities:<br>• Monitor and process customer orders for both international and domestic shipments, ensuring timely delivery and cost efficiency.<br>• Provide detailed shipment updates and status reports to customers, agents, and overseas branch offices.<br>• Handle a high volume of shipments, optimizing processes to improve operational efficiency.<br>• Collaborate with the Operations Team and Operations Manager to support key functions and resolve issues.<br>• Address and resolve customer complaints or problems promptly and effectively.<br>• Negotiate with suppliers, vendors, agents, and customers to maintain strong business relationships.<br>• Offer guidance and leadership to the Operations Team, sharing expertise to foster growth and teamwork.<br>• Demonstrate a positive and collaborative attitude while contributing to team success.
<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>