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2 results for Medical Biller in Ventura, CA

Patient Biller

Northridge, CA
onsite
Temporary / Contract
21.21 - 28.19 USD / Hourly
We are seeking a detail-oriented Patient Biller to join our healthcare team. This role is responsible for managing the billing and collections process, including insurance follow-up, appeals, and denial resolution. The ideal candidate will have experience working with a variety of insurance types and a strong understanding of reimbursement processes.Key Responsibilities:<ul><li>Handle insurance collections and follow up on outstanding claims</li><li>Review and resolve claim denials in a timely manner</li><li>Prepare and submit appeals for denied or underpaid claims</li><li>Perform ongoing insurance follow-up to ensure prompt reimbursement</li><li>Work with HMO, PPO, and government insurance plans including Medicare and Medicaid</li><li>Investigate claim issues, payment discrepancies, and billing errors</li><li>Verify claim status and communicate with insurance carriers as needed</li><li>Maintain accurate account documentation and billing records</li><li>Collaborate with internal departments to resolve billing and payment concerns</li><li>Ensure compliance with payer guidelines and healthcare billing regulations</li></ul>
2026-05-14T00:00:00Z

Hospital Medical Collections Specialist

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.
2026-06-01T00:00:00Z