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7 results for Claims Processor Healthcare in Thousand Oaks, CA

Medical Insurance Collections Specialist

Van Nuys, CA
onsite
Temporary to Hire
24.01 - 30.8 USD / Hourly
Join a mission-driven healthcare team where your expertise directly impacts patient care and organizational success. We are seeking an experienced Hospital Medical Collections Specialist to support revenue cycle operations in a fast-paced hospital environment. This Hospital Medical Collections Specialist opportunity is ideal for a detail-oriented professional with a strong background in hospital billing, insurance follow-up, and complex claims resolution across inpatient and outpatient accounts. In this role, you will play a critical part in maximizing reimbursement, resolving denied and underpaid claims, and partnering with internal teams to improve financial outcomes. The ideal candidate thrives in a collaborative environment, understands payer regulations, and is highly skilled in navigating hospital collections with urgency and accuracy.What You’ll Do<ul><li>Drive resolution of outstanding hospital claims by reviewing account status, contacting payers, and securing timely reimbursement.</li><li>Manage collection activity across a diverse portfolio of insurance plans, including Medicare Managed Care, Medi-Cal Managed Care, commercial payers, and HMO/PPO products.</li><li>Research denied and underpaid claims, identify root causes, and prepare compelling appeals with supporting documentation.</li><li>Handle both inpatient and outpatient hospital billing accounts while ensuring compliance with payer requirements and contractual guidelines.</li><li>Analyze payment activity, billing edits, and account trends to identify reimbursement barriers and implement corrective actions.</li><li>Maintain thorough and accurate documentation of payer communication, follow-up activity, and account resolution steps.</li><li>Collaborate closely with billing, coding, and revenue cycle teams to resolve claim discrepancies and improve collection performance.</li><li>Adapt to department workflows and support Collector I-level processes and training initiatives as needed.</li></ul>What We’re Looking For<ul><li>Proven experience in hospital billing and medical collections within an acute care or healthcare revenue cycle environment.</li><li>Strong understanding of managed care plans, denial management, appeals, and payer follow-up processes.</li><li>Experience working with inpatient and outpatient hospital claims.</li><li>Excellent analytical, communication, and problem-solving skills.</li><li>Ability to prioritize workload, meet deadlines, and work efficiently in a high-volume environment.</li><li>Strong attention to detail and commitment to accuracy.</li></ul>
2026-07-17T00:00:00Z

Hospital Medical Collections Specialist

Van Nuys, CA
onsite
Temporary to Hire
24 - 31.7 USD / Hourly
We are looking for a Hospital Medical Collections Specialist to join a healthcare organization in the San Fernando Valley. The Hospital Medical Collections Specialist supports the revenue cycle by following up on outstanding hospital accounts, resolving payer issues, and helping improve reimbursement outcomes across inpatient and outpatient services. The Hospital Medical Collections Specialist must bring strong hospital billing and collections experience, along with a working knowledge of managed care, government, and commercial insurance plans. Responsibilities:• Pursue payment on outstanding hospital claims by reviewing account status, contacting payers, and addressing barriers that delay reimbursement.• Investigate denials, underpayments, and rejected claims, then take appropriate action through corrections, reconsiderations, or formal appeals.• Manage collections activity across a range of hospital accounts, including inpatient and outpatient balances tied to commercial and managed care plans.• Work through payer-specific requirements for Medicare managed care, Medi-Cal managed care, PPO, HMO, and other commercial coverage types to secure accurate payment.• Document follow-up activity thoroughly and maintain organized account notes to support timely resolution and audit readiness.• Partner with internal revenue cycle and billing teams to clarify account issues, correct claim data, and reduce preventable payment delays.• Review aging accounts to prioritize high-impact follow-up and escalate complex reimbursement issues when needed.• Contribute to onboarding and knowledge-sharing efforts for entry-level collection staff as needed.
2026-07-17T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
24 - 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
2026-07-17T00:00:00Z

Medical Biller

Los Angeles, CA
onsite
Temporary / Contract
27 - 30 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>
2026-07-13T00:00:00Z

Medical Authorizations Specialist

Los Angeles, CA
onsite
Temporary / Contract
25 - 28.71 USD / Hourly
A Hospital in Los Angeles is looking for an experienced Medical Authorizations Specialist to support patient access and revenue cycle operations for a healthcare organization. The Medical Authorizations Specialist position focuses on securing timely insurance approvals, insurance verifications confirming coverage details, and helping patients move forward with needed services without unnecessary delays. The Medical Authorizations Specialist candidate brings strong payer knowledge, sound judgment, and a patient-centered approach in a fast-moving hospital or clinical environment. Responsibilities:• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.
2026-07-24T00:00:00Z

Medical Biller (Hospital)

Van Nuys, CA
onsite
Temporary to Hire
23.12 - 30.12 USD / Hourly
A Hospital in the San Fernando Valley are looking for an experienced Hospital Medical Collections Specialist. The Hospital Medical Collections Specialist ideal for someone with a strong background in medical revenue cycle activities and a solid understanding of payer follow-up across government and commercial plans. The Hospital Medical Collections Specialist will help drive timely reimbursement by resolving outstanding accounts, addressing denials, and working through appeals for both inpatient and outpatient hospital claims. The hospital is open to candidates with at least 2 years of experience. Responsibilities:• Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement.• Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution.• Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage.• Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims.• Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution.• Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables.• Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications.
2026-07-10T00:00:00Z

Health Screener

Los Angeles, CA
onsite
Temporary / Contract
19 - 22 USD / Hourly
Client is seeking a compassionate and detail-oriented Health Screener or Certified Nursing Assistant (CNA) to support the health and wellness of children enrolled in its early childhood education programs. This role is responsible for conducting health screenings, collecting vital signs, maintaining accurate health records, and partnering with families and staff to ensure children meet required health standards. This is an excellent opportunity for healthcare professionals looking to make a meaningful impact in the community while growing into a long-term career.Key Responsibilities<ul><li>Perform health screenings for children, including obtaining vital signs (temperature, pulse, respirations, blood pressure, height, weight, vision, and hearing screenings as applicable).</li><li>Observe children for signs of illness or health concerns and report findings to appropriate staff.</li><li>Maintain accurate and confidential health documentation in accordance with program and regulatory requirements.</li><li>Review immunization and health records to ensure compliance with licensing and Head Start requirements.</li><li>Assist with follow-up communication regarding health screenings and referrals.</li><li>Educate families on preventive health practices and available community health resources.</li><li>Support infection control procedures and maintain a clean, safe screening environment.</li><li>Collaborate with Family Services, Health Services, and Education staff to coordinate services for enrolled children.</li><li>Ensure compliance with all agency policies, HIPAA, OSHA, and state health regulations.</li><li>Perform other health-related administrative duties as assigned.</li></ul>
2026-07-14T00:00:00Z