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9 results for Insurance Verification Specialist in Ventura, CA

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
24.00 - 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
2026-05-12T23:38:42Z

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>
2026-05-26T21:58:41Z

Managed Care Medicare Billing Specialist

Los Angeles, CA
onsite
Temporary to Hire
25.75 - 35.00 USD / Hourly
A hospital in Los Angeles is seeking an experienced Managed Care Billing Specialist to join its revenue cycle team. This Managed Care Billing Specialist 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 Managed Care Billing Specialist will also have experience working with UB04 claims in a hospital setting. Key Responsibilities: <ul><li>Perform insurance collections follow-up on outstanding hospital claims with a focus on Medicare and Managed Care payers. </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>
2026-05-27T00:18:44Z

Medical Biller Collector (Epic Software)

Los Angeles, CA
onsite
Temporary to Hire
23.00 - 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>
2026-05-14T22:28:44Z

Medical Biller/Collector - FQHC

Los Angeles, CA
onsite
Temporary to Hire
22.01 - 29.19 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:<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>
2026-05-08T19:28:43Z

Billing Analyst

Glendale, CA
remote
Permanent / Full Time
65000.00 - 75000.00 USD / Yearly
Accounts Receivable AnalystLocation: Los Angeles, CAIndustry: Media / AdvertisingOur client, a fast-paced Los Angeles media firm with stellar benefits, is seeking an experienced Accounts Receivable Analyst to oversee one direct report and lead complex media billing, pass-through revenue, and reconciliation activities. This role is ideal for a detail-oriented AR professional with recent experience in media, advertising, or agency environments who can manage high-volume billing processes while ensuring accuracy, timeliness, and strong client service.Key Responsibilities<ul><li>Manage the full accounts receivable function, including invoicing, collections, cash applications, account analysis, and reporting.</li><li>Oversee one AR team member, providing day-to-day guidance, training, and workflow support.</li><li>Handle complex media billing, including client invoicing tied to campaigns, projects, vendor charges, and billing adjustments.</li><li>Manage and reconcile pass-through revenue and related billing activity to ensure proper recording and timely resolution of discrepancies.</li><li>Perform detailed account reconciliations and research billing variances, unapplied cash, short pays, and disputed balances.</li><li>Partner closely with account management, finance, and clients to resolve billing issues and improve AR processes.</li><li>Monitor aging reports and collections activity to maintain healthy receivables and reduce past-due balances.</li><li>Assist with month-end close activities related to receivables, billing, and revenue reporting.</li><li>Support process improvements, internal controls, and documentation related to AR and billing operations.</li></ul>
2026-05-28T17:53:44Z

Case Manager

Los Angeles, CA
remote
Temporary / Contract
20.00 - 24.00 USD / Hourly
Position OverviewWe are seeking a compassionate and resourceful Case Manager to support individuals experiencing homelessness within the Inglewood community. This role is responsible for providing direct client support, conducting needs assessments, coordinating community resources, and helping clients achieve housing stability and self-sufficiency. The ideal candidate is empathetic, organized, and experienced working with vulnerable populations in a fast-paced social services environment.Key Responsibilities<ul><li>Conduct intake assessments and develop individualized case plans tailored to client needs and goals</li><li>Provide ongoing case management services to individuals and families experiencing homelessness or housing insecurity</li><li>Assist clients with accessing housing resources, emergency shelter, public benefits, healthcare, mental health services, substance abuse treatment, employment support, and community programs</li><li>Maintain regular contact with clients to monitor progress, provide advocacy, and adjust service plans as needed</li><li>Support clients with housing applications, documentation collection, referrals, and appointment coordination</li><li>Collaborate with local agencies, landlords, shelters, healthcare providers, and community partners to ensure continuity of care</li><li>Perform crisis intervention and de-escalation when necessary while maintaining professionalism and empathy</li><li>Maintain accurate and timely case notes, client records, and program documentation in compliance with agency and funding requirements</li><li>Track client outcomes and ensure compliance with grant, county, and program guidelines</li><li>Participate in outreach efforts, community engagement activities, and team meetings</li><li>Educate clients on life skills, budgeting, employment readiness, and housing retention strategies</li><li>Maintain confidentiality and uphold trauma-informed and client-centered care practices</li></ul>
2026-05-19T22:08:43Z

Workers Compensation Claim Adjuster - Trainee

Los Angeles, CA
remote
Temporary / Contract
30.00 - 30.00 USD / Hourly
We are looking for a Workers Compensation Claim Adjuster - Trainee to join a team in Los Angeles, California. This Long-term Contract position is ideal for someone who enjoys customer interaction, investigative work, and managing time-sensitive claim activity in a structured office setting. The individual in this role will support workers compensation claim handling from intake through ongoing coordination, while working closely with injured workers, insured parties, medical providers, and internal business partners. Responsibilities: • Conduct fact-finding reviews on new workers compensation claims to assess coverage, clarify loss details, and support compensability decisions. • Confirm the accuracy and completeness of claim intake information, then update files to ensure records remain organized and current. • Communicate with insureds, claimants, and other stakeholders to address questions, explain next steps, and provide attentive service throughout the claim process. • Prepare and issue required jurisdictional notices, arrange benefit-related activities, and maintain documentation needed for claim administration. • Coordinate medical appointments and gather treatment updates from providers to support timely handling of active files. • Evaluate medical documentation and related claim materials to help determine claim validity and appropriate benefit consideration. • Partner with investigative resources when red flags arise and assist with escalated claim review as needed. • Work with legal representatives and internal partners to support case strategy, resolution planning, and ongoing file progress. • Assist the broader claims team with administrative tasks such as filing, tracking deadlines, and completing assigned support activities.
2026-05-28T14:23:41Z

Billing Clerk

Culver City, CA
remote
Temporary / Contract
25.65 - 29.70 USD / Hourly
We are looking for a detail-oriented Billing Clerk to support contract-based billing operations in Culver City, California. This Contract position plays an important role in managing invoice activity, verifying billing information, and helping maintain accuracy in a fast-moving environment with substantial transaction volume. The person in this role will work closely with Operations and other internal partners to keep billing records current, resolve issues efficiently, and support day-to-day processing needs. Responsibilities: • Create customer invoices and credit adjustments accurately and in a timely manner. • Review billing inputs received from internal teams to confirm completeness and correctness before processing. • Compare invoice details against supporting records to ensure charges align with source documentation. • Submit billing documents through customer portals and electronic invoicing platforms as needed. • Investigate billing inconsistencies and elevate unresolved issues to the appropriate stakeholders. • Organize and maintain billing files, records, and related documentation for easy retrieval and audit readiness. • Partner with Operations, coordinators, administrators, and other teams to support smooth billing workflows. • Adjust to changing procedures, manual workarounds, and additional assigned tasks within evolving systems and processes.
2026-05-11T00:13:43Z