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8 results for Medical Claims Processor in Thousand Oaks, CA
- Los Angeles, CA
- onsite
- Temporary to Hire
- 25.13 - 30.8 USD / Hourly
- <p>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.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><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></ul>
- 2026-11-12T00:00:00Z
- Los Angeles, CA
- onsite
- Temporary / Contract
- 25.12 - 33.91 USD / Hourly
- <p>A Hospital in Los Angeles is seeking an experienced Medical Insurance Collections Specialist to join its revenue cycle team. The Medical Insurance Collections Specialist role will focus on insurance follow-up and collections for HMO and PPO payers, with an emphasis on resolving outstanding balances, researching claim issues, and securing timely reimbursement. The ideal candidate for the Medical Insurance Collections Specialist role will also have experience working with UB04 claims in a hospital setting.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform insurance collections follow-up on outstanding hospital claims with a focus on HMO and PPO payers.</li><li>Contact insurance companies and payers to obtain claim status, secure payment, and resolve unpaid or underpaid accounts.</li><li>Review and work hospital UB04 claims to ensure accurate billing and proper reimbursement..</li><li>Investigate and resolve claim denials, rejections, underpayments, and payment delays.</li><li>Submit corrected claims, supporting documentation, and appeals as needed to facilitate payment resolution.</li><li>Follow up on aged accounts receivable and maintain productivity in line with departmental goals.</li><li>Document all collection activity, account updates, and payer communications in the billing system.</li><li>Collaborate with billing, coding, and patient financial services teams to resolve claim discrepancies and improve reimbursement outcomes.</li><li>Monitor payer trends and escalate recurring issues impacting collections.</li></ul><p><br></p><p><strong>Qualifications:</strong></p><ul><li>3+ years of experience in medical insurance collections, insurance follow-up, or healthcare accounts receivable..</li><li>Hospital billing or collections experience required.</li><li>Strong knowledge of HMO and PPO insurance plans, payer guidelines, and reimbursement processes.</li><li>Experience working with UB04 claims required.</li><li>Familiarity with denial management, appeals, and claim resolution processes</li><li>Strong attention to detail, organizational skills, and ability to manage a high-volume workload..</li><li>Excellent communication and problem-solving skills..</li><li>Proficiency with hospital billing systems and electronic medical records preferred.</li></ul><p><br></p>
- 2026-11-07T00:00:00Z
- Los Angeles, CA
- onsite
- Temporary / Contract
- 26.12 - 31.03 USD / Hourly
- <p>A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials.</p><p><br></p><p>DUTIES AND RESPONSIBILITIES</p><p>-Performs full cycle billing and collection functions for Surgical professional fees</p><p>-Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission</p><p>-Performs all data entry and charge posting functions for surgical services as needed</p><p>-Performs all third party follow-up functions for all products and surgical procedures.</p><p>-Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments</p><p>-Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned</p><p>-Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p>-Provides the correct ICD-10M code to identify the provider's narrative diagnosis</p><p>-Provides the correct HCPCS code to identify medications and supplies</p><p>-Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p>- Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10-CM codes for services performed by staff surgeons</p>
- 2026-11-07T00:00:00Z
- Pasadena, CA
- onsite
- Temporary to Hire
- 23.91 - 31.27 USD / Hourly
- <p>We are looking for an experienced Medical Billing Coordinator to support a behavioral health organization in California. The Medical Billing Coordinator opportunity is ideal for someone who works accurately under pressure and takes pride in keeping medical billing operations organized and compliant. The Medical Billing Coordinator will ensure timely and accurate claims submission, payment posting, account follow-up, and resolution of billing discrepancies. </p><p><br></p><p>Responsibilities:</p><p>• Prepare and transmit insurance claims promptly while confirming that all billing details are complete and accurate before submission.</p><p>• Investigate denied, rejected, or aging claims and work directly with insurance carriers to secure proper resolution and payment.</p><p>• Enter payments, contractual adjustments, and patient remittances into the billing platform with a high level of accuracy.</p><p>• Review account balances, reconcile discrepancies, and take corrective action to resolve billing variances.</p><p>• Respond to billing-related inquiries from patients, payers, and internal team members in a timely and attentive manner.</p><p>• Support day-to-day revenue cycle operations by monitoring claim status and helping maintain steady cash flow.</p><p>• Apply payer guidelines, documentation standards, and organizational policies to maintain compliant billing practices.</p><p>• Contribute to reporting tasks and provide additional billing support as business needs require.</p>
- 2026-11-13T00:00:00Z
- Los Angeles, CA
- onsite
- Temporary / Contract
- 24.91 - 29.98 USD / Hourly
- <p>A Hospital is seeking a detail-oriented and organized Patient Biller to support our hospital’s revenue cycle operations. This role is responsible for preparing and submitting accurate patient claims, following up on outstanding balances, and managing insurance collections to ensure timely reimbursement. The ideal candidate has hospital billing experience, strong knowledge of insurance processes, and a commitment to delivering excellent service to patients and internal stakeholders.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare, review, and submit patient billing claims to commercial insurance, Medicare, Medicaid, and other third-party payers</li><li>Perform insurance collections activities, including follow-up on unpaid, denied, or underpaid claims</li><li>Investigate and resolve billing edits, denials, rejections, and payment variances</li><li>Contact insurance companies to verify claim status, obtain payment updates, and appeal denied claims as needed</li><li>Post payments, adjustments, and contractual allowances accurately in the billing system</li><li>Review patient accounts for accuracy and ensure compliance with hospital billing policies and payer requirements</li><li>Work closely with coding, patient access, and clinical departments to resolve account discrepancies</li><li>Communicate with patients regarding billing questions, insurance coverage, and payment responsibilities</li><li>Maintain accurate documentation of collection efforts, account activity, and claim resolutions</li><li>Support month-end billing and accounts receivable goals by prioritizing aged accounts and high-dollar claims</li></ul><p><br></p>
- 2026-11-07T00:00:00Z
- Los Angeles, CA
- remote
- Temporary to Hire
- 27 - 43 USD / Hourly
- <p>A Hospital in Los Angeles is looking for a <strong>Medical Coder </strong>with experience in Surgery experience. The Medical Coder role will focuses on accurate coding for surgical and related outpatient services, helping ensure clean claims, reliable reimbursement, and strong compliance with payer and regulatory standards. The person in the Medical Coder role will work closely with revenue cycle partners, clinical teams, and leadership to resolve coding issues, improve documentation quality, and maintain consistent coding performance. This position is a remote Monday - Friday. CPC or CCS licence is a MUST for consideration. This role is remote Monday - Friday with equipment provided.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• <u>Orthopedic Surgical Coding, Surgical Abstracting, and MediCal & CCS coding and billing guidelines (Top Requirements) </u></p><p>• Examine surgical charge documentation and clinical records to assign accurate diagnosis, procedure, and modifier codes for billing and reimbursement activities.</p><p>• Validate charge capture details, correct coding discrepancies, and confirm proper linkage between diagnoses and procedures before claims move forward.</p><p>• Apply ICD-10 and CPT coding standards to surgical and designated diagnostic cases, including review of complex encounters requiring careful interpretation.</p><p>• Manage daily claim and coding work queues, monitor ticket volume, and help maintain timely and accurate claim submission processes.</p><p>• Review scanned charge documents for completeness and coding accuracy, escalating unusual or high-risk issues when necessary.</p><p>• Support reporting and trend analysis by tracking coding errors, identifying recurring issues, and sharing findings with management for process improvement.</p><p>• Collaborate with revenue cycle staff, physicians, clinicians, and departmental leadership to address questions, resolve escalations, and strengthen coding quality.</p><p>• Maintain working knowledge across multiple specialties and remain current on payer rules, Medi-Cal guidance, CCS, Medicare requirements, and other compliance expectations.</p><p>• Participate in audits, department meetings, and ongoing education activities while assisting with coding records management and other assigned duties.</p><p><br></p><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
- 2026-11-10T00:00:00Z
- Los Angeles, CA
- onsite
- Temporary / Contract
- 23.12 - 28.71 USD / Hourly
- <p>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.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><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></ul><p><br></p>
- 2026-11-07T00:00:00Z
- Torrance, CA
- onsite
- Temporary to Hire
- 23.75 - 25 USD / Hourly
- <p>We are looking for a detail-oriented Customer Service Billing Specialist to join a manufacturing organization in Torrance, California. This on-site <strong>Contract </strong>opportunity is ideal for someone who enjoys working across departments to resolve billing issues, support customer account activity, and keep transaction records accurate. The person in this role will help maintain smooth order and billing operations by investigating credits and refunds, entering data carefully, and communicating effectively with internal teams.</p><p><br></p><p>Responsibilities:</p><p>• Work closely with accounting, customer service, sales, and distribution teams to investigate customer billing concerns and bring credit or refund requests to resolution.</p><p>• Enter and process customer credits, refunds, and related billing adjustments with a strong focus on accuracy and timeliness within the company system.</p><p>• Keep complete and organized records of billing actions to support audit readiness and ensure reliable transaction history.</p><p>• Assist with order entry and general order processing when additional operational support is needed.</p><p>• Maintain precise data input standards during busy periods to help ensure dependable customer service and order flow.</p><p>• Review billing and order activity for inconsistencies, trace the source of issues, and escalate recurring problems to department leadership.</p><p>• Verify transaction details before finalizing adjustments to reduce errors and improve financial accuracy.</p><p>• Contribute to efficient day-to-day billing operations by balancing customer support needs with administrative accuracy.</p>
- 2026-11-11T00:00:00Z