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9 results for Claims Processor Healthcare in Thousand Oaks, CA

Medical Billing - eClinicalWorks

Los Angeles, CA
remote
Temporary / Contract
18 - 23 USD / Hourly
We are seeking an experienced (Remote) Medical Billing Specialist to manage end‑to‑end billing functions using eClinicalWorks. This remote role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution. eClinicalWorks is a MUST, Key Responsibilities: <ul><li>Using eClinicalWorks for a medical billing and collections functions. </li><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices.</li></ul> Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-17T00:00:00Z

Medical Biller Collector - Hospital

Van Nuys, CA
onsite
Temporary to Hire
22.8 - 30.01 USD / Hourly
A large hospital system is seeking a detail-oriented Medical Biller Collector to support revenue cycle operations and ensure timely, accurate reimbursement for services rendered. The ideal candidate will have experience with medical billing, collections, insurance follow-up, and resolving account discrepancies in a high-volume healthcare environment. Key Responsibilities<ul><li>Submit accurate and timely medical claims to insurance carriers, government payers, and other third-party payers. </li><li>Follow up on outstanding accounts to resolve denied, underpaid, or unpaid claims. </li><li>Review patient accounts for billing accuracy, eligibility, authorizations, and coding-related issues. </li><li>Work denials and appeals, including researching payer requirements and preparing supporting documentation.</li><li>Post payments, adjustments, and contractual write-offs as needed.</li><li>Communicate with insurance representatives, patients, and internal departments to resolve billing questions and account issues. </li><li>Maintain productivity and quality standards in a fast-paced hospital billing environment. </li><li>Ensure compliance with HIPAA, payer regulations, and hospital billing policies. </li><li>Document account activity thoroughly and accurately in the billing system. </li><li>Assist with special projects and reporting related to accounts receivable and collections performance. </li></ul>
2026-04-30T00:00:00Z

Patient Account Representative

Van Nuys, CA
onsite
Temporary to Hire
22.8 - 26.4 USD / Hourly
We are looking for a Patient Account Representative to join a healthcare team in California. The Patient Account Representative is great position for a medical biller looking to work for a hospital. The Patient Account Representative will be tasked with medical billing and collections and manage accounts across a range of payer types. The Patient Account Representative role focuses on resolving outstanding balances, addressing denials and appeals, and supporting timely reimbursement for both inpatient and outpatient services. Responsibilities:• Pursue outstanding hospital accounts by following up with insurance carriers and other payers to secure accurate and timely payment.• Investigate claim denials, underpayments, and delayed reimbursements, then take appropriate action to move accounts toward resolution.• Prepare and submit appeals with supporting documentation to challenge payer decisions and recover eligible revenue.• Work across multiple coverage categories, including Medicare managed care, commercial plans, and managed care products, to address billing and collection issues.• Review inpatient and outpatient account activity to identify discrepancies, correct billing issues, and escalate complex cases when needed.• Maintain detailed records of collection efforts, account updates, and payer communications in accordance with departmental standards.• Collaborate with internal billing and revenue cycle teams to resolve account barriers and improve reimbursement outcomes.
2026-04-27T00:00:00Z

Patient Account Representative

Van Nuys, CA
onsite
Temporary / Contract
22.12 - 29.81 USD / Hourly
A Hospital in Van Nuys is in the need of an experienced Patient Account Representative to join our team in Van Nuys, California. In this role, the Patient Account Representative will utilize your expertise in hospital billing and collections to ensure seamless revenue cycle operations. This is a Contract to permanent position, offering the opportunity to transition into a permanent role based on performance and organizational needs. Responsibilities:• Manage hospital billing and collections processes, ensuring accuracy and compliance with regulations.• Handle Medicare managed care, commercial insurance, and medical managed care accounts.• Investigate and resolve medical billing denials and appeals to recover outstanding payments.• Process claims for hospital inpatient and outpatient services with a focus on maximizing reimbursement.• Collaborate with insurance carriers, patients, and internal teams to address billing inquiries and disputes.• Monitor accounts receivable to identify and prioritize collections efforts.• Utilize knowledge of HMO and PPO plans to navigate complex insurance requirements.• Support training initiatives for entry level team members in Collector I positions.• Maintain detailed records of collections activities and prepare reports for management.• Ensure adherence to hospital revenue cycle policies and procedures.
2026-04-25T00:00:00Z

Patient Account Representative

Van Nuys, CA
onsite
Temporary to Hire
22.01 - 28.19 USD / Hourly
A Large Healthcare Company located in the San Fernando Valley is in the immediate need of a Patient Account Representative. The Patient Account Representative is ideal for someone that had 2+ years of experience in medical billing and/or collections. The Patient Account Representative will be responsible for managing patient accounts, resolving billing issues, processing payments, and working with patients, insurers, and internal departments to ensure accurate and timely account resolution. Key Responsibilities:<ul><li>Review and manage patient accounts to ensure accurate billing and timely follow-up</li><li>Contact insurance companies, patients, and hospital departments regarding claim status, payment issues, and account discrepancies</li><li>Process payments, adjustments, refunds, and account updates in accordance with hospital policies</li><li>Investigate and resolve denied, underpaid, or unpaid claims</li><li>Assist patients with billing questions, payment arrangements, and financial responsibility explanations</li><li>Maintain accurate documentation of account activity in billing and hospital systems</li><li>Ensure compliance with HIPAA, hospital policies, and applicable billing regulations</li><li>Support month-end reporting and account reconciliation activities as needed</li></ul>
2026-04-28T00:00:00Z

Workers' Compensation Biller

Torrance, CA
onsite
Temporary / Contract
21 - 24 USD / Hourly
We are looking for a detail-oriented Entry Level Workers' Compensation Biller to join our team on a contract basis in Torrance, California. This role is dedicated to supporting patient financial services and ensuring smooth coordination of workers' compensation claims. The ideal candidate will bring expertise in handling authorizations, managing progress reports, and interacting with patients to provide exceptional service. Responsibilities:• Generate and submit authorization requests for workers' compensation claims.• Review, interpret, and manage progress reports, including PR2 documentation.• Utilize relevant tools and systems to copy, paste, and submit documentation accurately.• Process submissions through designated portals to ensure timely approvals.• Collaborate with patients to gather necessary intake information and address financial concerns.• Monitor and track the status of workers' compensation cases for updates.• Ensure compliance with organizational policies and regulatory requirements in all processes.• Work with internal teams to resolve issues and streamline workflows.• Maintain organized records of all claims and patient interactions.• Provide clear communication and updates to patients regarding their claims.
2026-04-29T00:00:00Z

Medical Eligibility Specialist

Long Beach, CA
onsite
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.
2026-04-30T00:00:00Z

Medical AR Collections Specialist

Los Angeles, CA
onsite
Temporary / Contract
24 - 28.01 USD / Hourly
We are looking for a Medical AR Collections Specialist to support medical collections efforts for a healthcare revenue cycle team in Los Angeles, California. This Medical AR Collections Specialist position focuses on resolving aged accounts, pursuing reimbursement from insurance carriers, and strengthening account recovery outcomes. The ideal candidate brings experience working with managed care payers and can handle a consistent daily volume while maintaining accuracy and professionalism. The role will be hybrid 2 days in office and 3 day from home. Responsibilities:• Review and pursue outstanding accounts that are 120 to 210 days past due to improve reimbursement results.• Manage a high-volume accounts receivable workload, with responsibility for a portfolio of approximately 8,000 to 9,000 accounts.• Investigate underpayments, recover balances when possible, and determine appropriate next steps for accounts at risk of write-off.• Communicate with insurance payers and managed care organizations, including LA Care and Kaiser, to resolve claim and payment issues.• Complete daily follow-up activity on roughly 50 to 60 accounts, ensuring timely status updates and documentation.• Prepare and submit appeals or supporting documentation to address denied or disputed medical claims.• Maintain accurate account notes and collection records within organizational systems to support ongoing resolution efforts.
2026-04-29T00:00:00Z

Medical Biller / Payment Poster (hybrid)

Los Angeles, CA
onsite
Temporary to Hire
23.12 - 28.01 USD / Hourly
A Healthcare Company in Los Angeles is seeking a detail-oriented and experienced Medical Biller / Payment Poster to join our Revenue Cycle team. The Medical Biller / Payment Poster role is responsible for accurately posting payments, reconciling accounts, and ensuring timely and precise revenue cycle operations. The ideal candidate for a the Medical Biller / Payment Poster has strong knowledge of insurance payments, EOBs, and healthcare billing processes. This role is a hybrid position with 2 days in office and 3 days remote. Key Responsibilities<ul><li>Post insurance and patient payments accurately and in a timely manner</li><li>Review and interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA)</li><li>Reconcile posted payments with daily deposits and bank reports</li><li>Identify and resolve payment discrepancies, denials, and underpayments</li><li>Adjust accounts based on contractual agreements and payer guidelines</li><li>Collaborate with billing and collections teams to ensure clean claim resolution</li><li>Maintain compliance with HIPAA and company policies</li><li>Assist with month-end closing and reporting as needed</li></ul>
2026-04-30T00:00:00Z