<p>A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus.</p><p><br></p><p>Responsibilities:</p><p>• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.</p><p>• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.</p><p>• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.</p><p>• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.</p><p>• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.</p><p>• Maintain secure and compliant records of Protected Health Information used in billing activities.</p><p>• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.</p><p>• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.</p><p>• Collaborate with internal teams to streamline billing processes and improve efficiency.</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>
We are looking for a skilled and personable Medical Receptionist to join our team in Temecula, California. This is a long-term contract position offering an opportunity to contribute to a detail-oriented healthcare environment while providing exceptional support to patients and staff. The ideal candidate will handle administrative tasks with precision and ensure a smooth patient experience.<br><br>Responsibilities:<br>• Welcome patients and visitors with a friendly demeanor, creating a positive and detail-oriented atmosphere.<br>• Oversee patient check-in and check-out processes while maintaining accuracy in system entries.<br>• Perform insurance verifications, ensuring coverage details are correctly documented.<br>• Schedule appointments using medical scheduling software, adhering to established protocols.<br>• Collect and update patient information, ensuring medical records are complete and accurate.<br>• Support billing processes, including handling medical collections and reviewing documentation.<br>• Keep medical records, charts, and administrative files organized for easy access and compliance.<br>• Ensure adherence to patient confidentiality standards and healthcare regulations.
<p>A Healthcare Company is looking for a bilingual Spanish Medical Receptionist to join our team in Los Angeles, California. This role is ideal for someone who thrives in a fast-paced healthcare environment and is dedicated to providing exceptional service to patients. The bilingual Spanish Medical Receptionist role offers the potential for long-term collaboration within a supportive and detail oriented setting.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Welcome patients and visitors warmly, ensuring communication is clear and detail oriented in both English and Spanish.</p><p>• Confirm insurance details, collect copayments, and verify the completion of necessary patient forms.</p><p>• Support the patient intake and check-out processes, ensuring accurate data entry and record-keeping.</p><p>• Collaborate with clinical staff to streamline office operations and maintain efficient patient flow.</p><p>• Manage requests for medical records, including scanning and filing documents as needed.</p><p>• Provide administrative assistance such as handling correspondence, faxing, and overseeing office supply inventory.</p><p>• Uphold patient confidentiality and comply with healthcare regulations and organizational policies</p><p><br></p><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>We are looking for a bilingual Spanish Medical Receptionist to join a dynamic healthcare team in Los Angeles, California. This role is ideal for someone who thrives in a fast-paced medical environment and is dedicated to providing exceptional patient care. This Bilingual Spanish Medical Receptionist role allows you to grow professionally while contributing to the smooth operation of the clinic.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Welcome patients and visitors with professionalism and ensure effective communication in both Spanish and English.</p><p>• Verify insurance details, collect payments, and confirm the completion of necessary patient documentation.</p><p>• Support patient registration and check-out processes, ensuring accurate and timely data entry.</p><p>• Collaborate with clinical staff to maintain efficient workflows and patient scheduling.</p><p>• Handle requests for medical records, including scanning, filing, and ensuring confidentiality.</p><p>• Manage administrative tasks such as correspondence, faxing, and maintaining office supplies.</p><p>• Uphold patient privacy and comply with healthcare regulations and policies.</p><p>• Assist with coordinating office operations to ensure a seamless patient experience.</p><p><br></p><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>We are looking for a bilingual Korean Medical Receptionist to join a dynamic healthcare team in Los Angeles, California. This role is ideal for someone who thrives in a fast-paced medical environment and is dedicated to providing exceptional patient care. This Bilingual Korean Medical Receptionist role allows you to grow professionally while contributing to the smooth operation of the clinic.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Welcome patients and visitors with professionalism and ensure effective communication in both Korean and English.</p><p>• Verify insurance details, collect payments, and confirm the completion of necessary patient documentation.</p><p>• Support patient registration and check-out processes, ensuring accurate and timely data entry.</p><p>• Collaborate with clinical staff to maintain efficient workflows and patient scheduling.</p><p>• Handle requests for medical records, including scanning, filing, and ensuring confidentiality.</p><p>• Manage administrative tasks such as correspondence, faxing, and maintaining office supplies.</p><p>• Uphold patient privacy and comply with healthcare regulations and policies.</p><p>• Assist with coordinating office operations to ensure a seamless patient experience.</p><p><br></p><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>We are seeking a detail-oriented Insurance Verification and Patient Support Specialist with expertise in PPO plans. This individual will play a key role in supporting our patients by thoroughly verifying insurance benefits and clearly communicating coverage details to patients. The successful candidate will understand how PPOs work, especially as they relate to therapy services, and will be able to guide patients through the financial and administrative steps of their care.</p><p>Key Responsibilities:</p><ul><li>Verify insurance benefits, with a specific focus on PPO plans, and accurately determine patient copays and out-of-pocket expenses.</li><li>Clearly explain coverage outcomes to clients, including copay amounts and what is covered under their PPO plan.</li><li>Educate patients on the necessity of having a physician’s prescription for Occupational Therapy (OT) and Speech Therapy, even when covered by a PPO plan.</li><li>Guide patients through the scheduling process, ensuring they understand each step and any prerequisites for appointments.</li><li>Serve as a knowledgeable resource for patients regarding insurance plan requirements, authorizations, and general billing questions.</li><li>Work cross-functionally with clinical and administrative teams to ensure a seamless patient experience from benefit verification through appointment scheduling.</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Records Technician to join our team in Santa Ana, California. In this long-term contract position, you will play a key role in retrieving and managing medical records to support healthcare operations. This opportunity offers a dynamic mix of fieldwork and independent tasks, perfect for someone who thrives in a flexible and fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Travel to healthcare facilities within a 40-mile radius to retrieve medical records, both in paper and electronic formats.</p><p>• Upload medical charts into a secure system using company-provided equipment, ensuring data accuracy and confidentiality.</p><p>• Manage daily tasks independently, with the flexibility to complete submissions from home after fieldwork is done.</p><p>• Participate in two days of remote, paid training to gain the necessary skills for risk adjustment processes.</p><p>• Utilize company-provided tools, including a password-protected laptop, scanner, and flash drives, to perform tasks efficiently.</p><p>• Collaborate with team members and leaders to ensure smooth chart retrieval operations.</p><p>• Maintain accurate documentation and reporting of records retrieved during field visits.</p><p>• Provide excellent customer service while interacting with healthcare providers and office staff during chart retrieval.</p><p>• Follow all data security protocols to protect sensitive medical information.</p>
<p>A Healthcare Company in Van Nuys is in the need of Patient Account Rep. The Patient Account Rep requires a strong background in medical billing and collections, with a focus on managed care and commercial claims. As a Patient Account Rep this role offers a pathway to long-term employment for a detail-oriented individual ready to make a meaningful impact in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Handle hospital billing and collections processes, including inpatient and outpatient claims.</p><p>• Manage the resolution of denied claims and appeals across Medicare, managed care, and commercial insurance providers.</p><p>• Ensure timely and accurate processing of payments within hospital revenue cycles.</p><p>• Collaborate with insurance companies to resolve discrepancies and secure reimbursements.</p><p>• Utilize knowledge of HMO and PPO plans to navigate complex billing scenarios effectively.</p><p>• Provide training and support to entry-level collectors as needed.</p><p>• Conduct thorough account reviews to identify outstanding balances and address payment issues.</p><p>• Maintain compliance with healthcare regulations and billing guidelines.</p><p>• Communicate with patients and providers to clarify billing concerns and payment plans.</p><p>• Prepare detailed reports on collection activities and outcomes for management review.</p>
<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>
<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>
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.
<p>We are looking for a detail-oriented Payments Claim Specialist to join our team in Los Angeles, CA, This position offers an excellent opportunity to contribute to claim administration and payment processing operations in the fraud department within a dynamic and fast-paced environment. The ideal candidate will demonstrate expertise in handling disputes, ensuring compliance with regulatory standards, and maintaining high-quality standards in financial processes.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage claims related to payments, ensuring accuracy and adherence to established policies.</p><p>• Conduct thorough investigations of disputes and chargebacks to resolve issues promptly.</p><p>• Monitor and enforce compliance with regulatory requirements related to claim administration.</p><p>• Prepare detailed reports and metrics to track progress and performance.</p><p>• Collaborate with clients to address concerns and maintain strong relationships.</p><p>• Perform quality checks on claims to ensure accuracy and compliance with procedures.</p><p>• Review ledgers, debits, and credits to identify and address discrepancies.</p><p>• Support fraud investigations by analyzing claims and payment processes.</p><p>• Maintain organized records and documentation for auditing and reporting purposes.</p>