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5 results for Medical Biller in Ventura, CA

Medical Biller (Hospital)

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.
2026-07-10T00:00:00Z

Medical Biller Collector

Encino, CA
onsite
Temporary to Hire
24.77 - 30.8 USD / Hourly
We are looking for an experienced Medical Biller Collector to join a Surgery Center in Encino. The Medical Biller Collector is ideal for someone with a strong background in healthcare billing and insurance collections who can manage claims activity accurately and follow revenue cycle processes from submission through reimbursement. The Medical Biller Collector position supports surgical and outpatient services by ensuring charges, coding, and payer information are handled correctly and in a timely manner. Responsibilities:• Manage end-to-end billing and collections for surgical and related service charges, ensuring timely claim processing and payment resolution.• Confirm patient coverage, referral or authorization status, and payer details through electronic health record systems and insurer portals before claims are transmitted.• Enter billing information, post charges, and maintain accurate account records to support clean claim submission.• Conduct follow-up with insurance carriers on outstanding claims, denials, and unpaid balances across multiple plan types and procedures.• Review rejected or denied claims, correct billing or coding issues, and resubmit documentation to support reimbursement.• Audit provider documentation and operative reports to confirm services are fully supported before charges are released for billing.• Assign appropriate diagnosis, procedure, medication, and supply codes based on clinical documentation and established coding standards.• Evaluate explanation of benefits statements and payer responses to identify discrepancies, underpayments, or additional appeal opportunities.
2026-08-07T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Temporary / Contract
25 - 30 USD / Hourly
A leading hospital in the Valley is seeking a detail-oriented 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 candidate 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>Prepare adjustments needed to ensure account balances reflect payable amounts and forward them to management for review and authorization. </li></ul>
2026-07-28T00:00:00Z

Medical Credentialing Specialist

Mission Hills, CA
onsite
Temporary / Contract
32 - 45 USD / Hourly
A healthcare company is seeking an experienced Medical Credentialing Specialist to join our Medical Staff Services department. This Medical Credentialing Specialist is responsible for managing the full credentialing lifecycle for physicians and advanced practice providers, with a primary focus on initial appointments, reappointments, and clinical privileges. The Medical Credentialing Specialist is detail-oriented, highly organized, and experienced in navigating the complex regulatory requirements governing hospital credentialing. This position requires prior experience using MD-Staff software to support credentialing, privileging, and provider data management. Key Responsibilites:<ul><li>Manage the credentialing and privileging process for physicians and allied health professionals, including initial appointments, reappointments, temporary privileges, and privilege modifications, using MD-Staff to maintain accurate and current provider records.</li><li>Review applications for completeness, obtain required documentation, and perform all primary source verifications, including licensure, education, training, board certification, DEA registration, references, malpractice history, NPDB queries, and sanctions/exclusion screenings.</li><li>Prepare and maintain credentialing files, reports, and committee-ready documentation in MD-Staff for review by Department Chairs, the Credentials Committee, Medical Executive Committee (MEC), and Governing Board, while tracking expiration dates and reappointment timelines to ensure continuous compliance.</li><li>Ensure adherence to Medical Staff Bylaws, hospital policies, CMS Conditions of Participation, The Joint Commission standards, and all applicable state and federal regulations.</li><li>Partner with Human Resources, Provider Enrollment, Risk Management, department leaders, and hospital leadership to support provider onboarding, reporting, committee materials, accreditation readiness, and high-quality service to providers and stakeholders.</li></ul>Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-08-01T00:00:00Z

Accounts Receivable Clerk

Moorpark, CA
onsite
Temporary to Hire
24.7 - 28.6 USD / Hourly
We are looking for an Accounts Receivable Clerk to join a team in Moorpark, California in a contract-to-permanent capacity. This role is ideal for someone with strong experience in billing, cash application, and commercial collections who can keep receivables organized and accurate. The selected candidate will support day-to-day revenue cycle activities, address account issues promptly, and provide reliable reporting to help maintain healthy customer accounts. Responsibilities: • Create and send customer invoices each day, ensuring billing details are complete, accurate, and delivered on time. • Apply incoming payments by properly recording cash, check, and credit card transactions in the accounting system. • Review accounts receivable records regularly and match transactions to confirm balances are correct and fully documented. • Investigate billing questions and work directly with customers to resolve payment discrepancies in a timely manner. • Produce recurring aging summaries and other receivables reports for leadership on a weekly and monthly basis. • Maintain customer account documentation and update records to support accurate billing and collection activity. • Evaluate new customer account information to help assess creditworthiness and reduce potential payment risk. • Support commercial collection efforts by following up on outstanding balances and encouraging timely payment. • Use Microsoft Great Plains Dynamics to manage receivables activity, payment posting, and account tracking efficiently.
2026-08-07T00:00:00Z