<p>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. </p><p><br></p><p>Responsibilities:</p><p>• Conduct financial screenings for incoming clients to determine eligibility and financial liability.</p><p>• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.</p><p>• Maintain and update client financial records in electronic health record systems.</p><p>• Organize and track annual re-evaluations of client financial information.</p><p>• Follow up with clinical staff to ensure completion of required documentation for financial folders.</p><p>• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.</p><p>• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).</p><p>• Audit financial folders upon client discharge to ensure compliance and accuracy.</p><p><br></p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
<p>A Healthcare Company is seeking a Medical Insurance Verification Specialist to join its team. The Medical Insurance Verification Specialist will help ensure timely and accurate verification of patient insurance coverage for our healthcare facility. We’re seeking Medical Insurance Verification Specialist with at least 2 years of relevant medical insurance verification experience. Bilingual Spanish skills are a plus. Familiarity with HMO, PPO, and government insurance plans is required; surgical scheduling or support is highly valued.</p><p>Responsibilities:</p><ul><li>Verify patient eligibility, coverage, and benefits for HMO, PPO, and government insurance plans</li><li>Communicate with insurance providers and patients to resolve coverage questions and discrepancies</li><li>Document all verification activities and update patient records accurately</li><li>Collaborate with clinical and administrative staff to ensure appropriate coverage for planned procedures, including surgery</li><li>Assist patients in understanding their insurance benefits and any out-of-pocket costs</li></ul><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement. </p>
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. <br> The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. <br> Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience,<br><br>Responsibilities:<br><br>1. Investigating and resolving denied claims from various insurance providers.<br>2. Reviewing credit balances and denials management. <br>3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing.<br>4. Follow up on outstanding claim denials and secure reimbursement where possible.<br>5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies.<br>6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates.<br>7. Submit appeals and reconsideration requests to insurance companies for denied claims.<br>8. Strong understanding of HMO and PPO.
We are looking for a Certified Payroll Specialist to join our team in Newport Beach, California. In this long-term contract position, you will be responsible for managing payroll processes, ensuring compliance with labor regulations, and maintaining detailed documentation for certified payroll submissions. This role requires strong organizational skills and the ability to effectively communicate with various stakeholders, including subcontractors and project owners.<br><br>Responsibilities:<br>• Organize and manage certified payroll and labor compliance documents using relevant software tools.<br>• Process and verify weekly certified payroll submissions to ensure accuracy and compliance.<br>• Support project-specific requirements by assisting with uploads and timely submission of necessary apprentice documents.<br>• Prepare and submit monthly documentation to project owners as required.<br>• Communicate with subcontractors to ensure payroll and labor compliance documents are complete and accurate.<br>• Generate periodic status reports to facilitate payment releases for subcontractors.<br>• Submit and finalize all labor compliance documents and project requirements.<br>• Collaborate with internal team members and liaise with clients to ensure smooth workflow and communication.
<p>Join our hospital team as a Medical Collections Specialist—a critical role in our revenue cycle management department. You do not need prior experience; comprehensive training is provided to ensure your success in this position.</p><p>Responsibilities:</p><ul><li>Manage and resolve patient accounts, including billing and collections</li><li>Contact patients and insurance companies to follow up on outstanding balances</li><li>Maintain accurate records and documentation in our collection systems</li><li>Communicate professionally with patients, insurers, and internal teams</li><li>Ensure compliance with privacy regulations and hospital policies</li><li>Support strategic initiatives to improve collections processes</li></ul><p><br></p>
<p>A leading hospital in the San Fernando Valley is seeking a dedicated Hospital Medical Billing Collections Specialist to join its team. In this role, you will oversee all aspects of the hospital's billing and collections processes, ensuring timely and accurate reimbursement. You will be responsible for managing billing activities and collections for Medicare managed care, commercial insurance, PPO/HMO, and Medi-Cal managed care accounts. This position requires strong attention to detail, a deep understanding of healthcare billing guidelines, and the ability to work collaboratively with internal departments and insurance payers to resolve outstanding claims.</p><p><br></p><p>Responsibilities:</p><p>• Conduct hospital billing and collection processes with accuracy and efficiency</p><p>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care</p><p>• Provide training for Collector I positions</p><p>• Appeals and denials management.</p><p>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role</p><p>• Oversee the management of insurance correspondence and maintain accurate records</p><p>• Monitor patient accounts and take appropriate action to collect insurance payments.</p>
