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8 results for Claims Processor Healthcare in Thousand Oaks, CA

Patient Biller

Northridge, CA
onsite
Temporary / Contract
21.21 - 28.19 USD / Hourly
We are seeking a detail-oriented Patient Biller to join our healthcare team. This role is responsible for managing the billing and collections process, including insurance follow-up, appeals, and denial resolution. The ideal candidate will have experience working with a variety of insurance types and a strong understanding of reimbursement processes.Key Responsibilities:<ul><li>Handle insurance collections and follow up on outstanding claims</li><li>Review and resolve claim denials in a timely manner</li><li>Prepare and submit appeals for denied or underpaid claims</li><li>Perform ongoing insurance follow-up to ensure prompt reimbursement</li><li>Work with HMO, PPO, and government insurance plans including Medicare and Medicaid</li><li>Investigate claim issues, payment discrepancies, and billing errors</li><li>Verify claim status and communicate with insurance carriers as needed</li><li>Maintain accurate account documentation and billing records</li><li>Collaborate with internal departments to resolve billing and payment concerns</li><li>Ensure compliance with payer guidelines and healthcare billing regulations</li></ul>
2026-05-14T00:00:00Z

Managed Care Medical Billing Specialist

Los Angeles, CA
onsite
Temporary to Hire
23.75 - 32.51 USD / Hourly
A leading hospital in Los Angeles is seeking a detail-oriented Managed Care Medical Billing Specialist to join its revenue cycle team. This role is responsible for ensuring accurate and timely claim submission, follow-up, and resolution of managed care billing issues. The ideal Managed Care Medical Billing Specialist will have strong knowledge of medical billing processes, payer requirements, and accounts receivable follow-up within a hospital environment. Key Responsibilities: <ul><li>Demonstrate the ability to determine the accuracy of pertinent medical, coding, eligibility, authorization, demographic, and financial information, and make any required corrections. </li><li>Determine payer documentation requirements for payment and ensure all necessary supporting documentation is available for claim submission. </li><li>Transmit and submit clean claims to payers within three working days of receipt, while maintaining a productivity standard of 200 claims per day.</li><li>Update the computer system to reflect claim submission and transmission activity. </li><li>Review payer correspondence and provide corrections and/or additional documentation within three working days. </li><li>Review payment data for suspensions, underpayments, and denials, and submit appropriate responses, including corrected insurance forms and rebills as needed. </li><li>Review bi-monthly accounts receivable reports to identify claims that have been submitted but remain unresolved or unacknowledged, as well as claims that have not yet been submitted, and take appropriate action to ensure timely resolution</li><li>Preepare adjustments needed to ensure account balances reflect payable amounts and forward them to management for review and authorization. </li></ul>
2026-05-26T00:00:00Z

Inpatient Hospital Biller (Managed Care & Medicare)

Los Angeles, CA
onsite
Temporary to Hire
25.75 - 35 USD / Hourly
The Inpatient Hospital Biller is responsible for the accurate and timely billing of inpatient hospital claims to Managed Care and Medicare payers. This role is strictly focused on claim generation and submission. The ideal candidate has hands-on inpatient billing experience in an acute care hospital setting and is highly detail-oriented. Key Responsibilities<ul><li>Perform hands-on billing of inpatient hospital claims using the UB‑04 claim form</li><li>Generate, review, and submit inpatient claims to Managed Care and Medicare payers</li><li>Ensure claims are complete, accurate, and compliant with payer and regulatory requirements prior to submission</li><li>Review charges, DRGs, patient demographics, and insurance information for billing accuracy</li><li>Resolve billing edits and claim rejections prior to claim release</li><li>Ensure billing practices comply with Medicare regulations, Managed Care contracts, and hospital policies</li><li>Validate billing data in coordination with Coding, Case Management, and Revenue Integrity teams</li><li>Maintain accurate documentation and notes within the billing system</li><li>Work closely with internal Revenue Cycle and Finance teams to support clean claim submission</li><li>Assist with billing-related reporting or reconciliation as requested</li><li>Support month-end billing deadlines</li></ul>
2026-05-29T00:00:00Z

Medical Biller Collector (Epic Software)

Los Angeles, CA
onsite
Temporary / Contract
23 - 29.01 USD / Hourly
A Health Center is seeking an experienced Medical Biller/Collector with Epic billing software 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. Epic billing software is a MUST. 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>Epic medical billing software.</li></ul>
2026-05-14T00:00:00Z

Hospital Medical Collections Specialist

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.
2026-05-20T00:00:00Z

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
2026-05-27T00:00:00Z

Medical Collections Specialist

North Hollywood, CA
onsite
Temporary / Contract
23.19 - 30.01 USD / Hourly
A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.Key Responsibilities<ul><li>Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers</li><li>Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution</li><li>Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs</li><li>Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims</li><li>Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history</li><li>Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes</li><li>Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates</li><li>Monitor assigned accounts to reduce aging AR and improve overall collection performance</li><li>Support departmental goals related to cash collections, denial management, and revenue cycle efficiency</li></ul>
2026-05-18T00:00:00Z

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