<p>A Hospital in Los Angeles is seeking an experienced Medical Insurance Collections Specialist to join its revenue cycle team. The Medical Insurance Collections Specialist role 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 candidate for the Medical Insurance Collections Specialist role will also have experience working with UB04 claims in a hospital setting. </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform insurance collections follow-up on outstanding hospital claims with a focus on HMO and PPO payers. </li><li>Contact insurance companies and payers to obtain claim status, secure payment, and resolve unpaid or underpaid accounts. </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><p><br></p><p><strong>Qualifications:</strong></p><ul><li>3+ years of experience in medical insurance collections, insurance follow-up, or healthcare accounts receivable..</li><li>Hospital billing or collections experience required. </li><li>Strong knowledge of HMO and PPO insurance plans, payer guidelines, and reimbursement processes. </li><li>Experience working with UB04 claims required. </li><li>Familiarity with denial management, appeals, and claim resolution processes</li><li>Strong attention to detail, organizational skills, and ability to manage a high-volume workload..</li><li>Excellent communication and problem-solving skills..</li><li>Proficiency with hospital billing systems and electronic medical records preferred.</li></ul>
<p>A nationally recognized Hospital in Los Angeles is in the immediate need of a Medical Collector II. The Medical Collector II must be well versed with insurance collections preferably from Medi-Cal/Medicaid and CCS (California Children’s Services). The Medical Collector II is responsible for analyzing denied claims and appeal accordingly. The Medical Collector II also performs a variety of duties which may include answering in-coming telephone calls, documenting insurance information, verification of eligibility and billing/appealing claims to the various insurance carriers. This position is responsible for handling patient accounts in a high-performance team environment with a number of additional duties as needed for operational needs. </p><p><br></p><p><strong>This position is a Hybrid / Remote role requiring an employee to come in office 1 day per week. </strong></p><p><br></p><p>Essential Duties: </p><p>• Reviews claims to ensure all key components were submitted accurately to the correct payer. </p><p>• Review Medi-Cal/Medicaid and CCS (California Children’s Services) claims. </p><p>• Reviews correspondence and denial information to determine why claims have not been paid and takes appropriate actions to ensure the accurate and timely submission of claims. </p><p>• Researches and analyzes accounts and payments to determine whether charges were billed properly, and to resolve incorrect information on patient accounts; reverses balance to credit or debit if charges were improperly billed. </p><p>• Corrects and resubmits claims and identifies issues that require attention. Makes all the appropriate corrections in the system and submits appeals as appropriate, following </p><p>individual payer guidelines and including all supporting documentation. </p><p>• Contacts insurance companies and or patient/guarantor to verify insurance eligibility and resolve payment problems; provides information to expedite collection process. </p><p>• Prepares adjustments for charges which cannot be billed and processes or submits to the supervisor per adjustment guidelines. </p><p>• Ensures authorization, TARs/SARs are included in claim submissions to payers and follows appropriate steps to secure the authorization/retro authorization. </p>
<p>An Ambulatory Surgery Center in Los Angeles is in the need of a Medical Biller/Collections Specialist. This Medical Biller/Collections Specialist is ideal for someone who understands the full revenue cycle and can confidently manage claims, denials, and payer follow-up for surgical services. The right candidate for the Medical Biller/Collections Specialist role will bring healthcare billing experience, strong insurance knowledge, and the ability to keep accounts moving toward timely reimbursement.</p><p><br></p><p>Responsibilities:</p><p>• Manage end-to-end billing and collections activities for surgical services, from charge review through payment follow-up.</p><p>• Confirm patient coverage, authorization details, and payer information using available electronic records and insurance carrier resources before claims are submitted.</p><p>• Enter billing data and post charges accurately for surgical cases while maintaining complete and organized account documentation.</p><p>• Pursue outstanding third-party balances by conducting regular follow-up with commercial and government payers across multiple plan types.</p><p>• Investigate explanation of benefits, identify denial causes, correct claim issues, and resubmit claims to support reimbursement.</p><p>• Monitor assigned claim queues and worklists each day to address unresolved accounts, aging items, and billing exceptions in a timely manner.</p><p>• Review provider documentation, including urgent care and surgical records, to ensure charges are supported and billing can proceed accurately.</p><p>• Apply appropriate diagnosis, procedure, medication, and supply codes based on clinical documentation and operative reports completed by providers.</p><p>• Examine aged accounts and unresolved payer responses to resolve denials, appeals, and collection issues efficiently.</p>
<p>A Healthcare Company is seeking a Behavioral Health Medical Biller to support revenue cycle operations and ensure accurate, timely billing for behavioral health services. The Behavioral Health Medical Biller candidate will need to have experience with medical billing, claims processing, payment posting, and insurance follow-up. Experience working with DMH billing is a strong plus.</p><p> </p><p> Key Responsibilities:</p><p> • Process and submit behavioral health medical claims accurately and on time</p><p> • Review billing documentation for completeness and compliance</p><p> • Follow up on unpaid, denied, or rejected claims with insurance carriers</p><p> • Post payments, adjustments, and reconcile accounts</p><p> • Verify patient insurance coverage and benefits</p><p>• Examine billing documentation to confirm all required information is complete, properly supported, and aligned with payer guidelines.</p><p>• Investigate outstanding accounts and communicate with insurance carriers to resolve denied, rejected, or unpaid claims.</p><p>• Work closely with internal teams to resolve billing discrepancies</p><p> • Maintain accurate billing records and ensure confidentiality of patient information</p><p> • Support month-end reporting and accounts receivable follow-up</p>
<p>A Medical Claims Organizations is in the immediate need of Medical Claims Examiner with experience in grievances and appeals to join the team. The Medical Claims Examiner is responsible for reviewing, investigating, and resolving member and provider grievances and appeals in compliance with regulatory requirements and internal policies. The Medical Claims Examine candidate will have hands-on experience working within EZ-CAP and a solid understanding of health plan operations.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Review, research, and process member and provider grievances and appeals accurately and within required turnaround times</li><li>Use EZ-CAP to document, track, and manage case activity</li><li>Analyze case details, benefits, claims, authorizations, and supporting documentation to determine appropriate resolutions</li><li>Ensure all grievances and appeals are handled in accordance with health plan policies, CMS, DMHC, and other applicable regulatory guidelines</li><li>Communicate with internal departments, providers, and members regarding case status and resolution</li><li>Prepare written correspondence for grievance and appeal determinations</li><li>Maintain complete, accurate, and audit-ready documentation</li><li>Identify trends or recurring issues and escalate as needed</li></ul>
<p>We are seeking a detail-oriented Medical Claims Examiner to join our team. In this role, you will review, analyze, and process medical claims accurately and efficiently while ensuring compliance with company policies, client requirements, and regulatory guidelines. The ideal candidate will have strong knowledge of claims adjudication, medical terminology, and healthcare insurance processes. Experience with EZ-CAP is a plus, and grievances experience is highly preferred.</p><p>Key Responsibilities:</p><ul><li>Review and process medical claims for accuracy, completeness, and eligibility</li><li>Analyze claims to determine coverage, payment, and denial outcomes</li><li>Research and resolve claim discrepancies, adjustments, and pended claims</li><li>Interpret provider contracts, benefit plans, and reimbursement guidelines</li><li>Ensure timely adjudication of claims in accordance with turnaround standards</li><li>Investigate and respond to inquiries related to claims status, denials, and escalations</li><li>Maintain accurate documentation of claim actions and decisions</li><li>Collaborate with internal departments, providers, and health plan representatives to resolve complex claims issues</li><li>Assist with appeals and grievance-related cases as needed</li><li>Stay current on policies, procedures, and regulatory requirements affecting claims processing</li></ul><p><br></p>
<p>Collections Specialist opportunity in a mid-sized services company. As a Collections Specialist, you will perform customer and/or commercial collections and resolve customer account issues. In this Collections Specialist position, you will report to the Collections Manager. This company offers a great work environment! Please email your resume and call 626.463.2030 for immediate consideration. </p><p>Collections Outreach:</p><p>· Contact customers with overdue payments through various channels such as phone calls, emails, and letters.</p><p>· Implement effective collection strategies to recover outstanding balances.</p><p>Negotiation and Resolution:</p><p>· Negotiate payment arrangements and terms with customers who are experiencing financial difficulties.</p><p>· Resolve disputes and address customer inquiries related to overdue payments.</p><p>Payment Reconciliation:</p><p>· Reconcile customer payments with outstanding balances.</p><p>· Ensure accuracy in recording and tracking payments received.</p><p>Documentation and Record Keeping:</p><p>· Maintain detailed and organized records of customer interactions, payment arrangements, and collection activities.</p><p>· Document any agreements made with customers regarding payment plans.</p><p>Reporting and Analysis:</p><p>· Generate and analyze reports on accounts receivable aging and collection performance.</p><p>· Provide insights into trends, challenges, and potential areas for improvement.</p><p>Credit Risk Assessment:</p><p>· Assess the creditworthiness of customers and recommend appropriate credit limits.</p><p><br></p>
We are looking for a Collections Specialist to support business-to-business account recovery efforts for a Contract position based in Huntington Beach, California. This role focuses on managing a high-volume portfolio, maintaining clear client communication, and helping resolve outstanding balances through effective follow-up and problem-solving. The ideal candidate brings strong commercial collections experience, attention to detail, and confidence working with billing data and account records in Excel and enterprise systems.<br><br>Responsibilities:<br>• Manage a portfolio of approximately 50 to 100 commercial accounts, following up on outstanding invoices and driving timely resolution of past-due balances.<br>• Communicate with retail business clients through written correspondence and other outreach methods to secure payment commitments or bring accounts to closure.<br>• Use credit and collections platforms to initiate automated reminders and support consistent follow-up activity across assigned accounts.<br>• Prepare and issue final demand notices when standard collection efforts have not resolved delinquent balances.<br>• Investigate billing concerns and account issues, identify the cause of nonpayment, and work toward practical solutions with customers.<br>• Maintain accurate account documentation, payment updates, and collection activity records within JD Edwards EnterpriseOne and related systems.<br>• Analyze account details and aging information in Microsoft Excel to prioritize collection efforts and monitor progress against outstanding receivables.
We are looking for a Collections Specialist to join a growing organization in Orange, California on a contract basis with the potential for a permanent position. This position supports the accounts receivable function by helping maintain healthy cash flow, addressing overdue balances, and partnering with internal teams to resolve billing concerns. The ideal candidate brings strong follow-through, sound judgment, and the ability to communicate effectively with clients while managing multiple priorities in a fast-moving environment.<br><br>Responsibilities:<br>• Review outstanding customer balances, prioritize follow-up activity, and communicate with clients to secure timely payment.<br>• Investigate billing variances, partial payments, and disputed charges by coordinating with internal partners such as billing and customer-facing teams.<br>• Keep thorough documentation of account status, collection outreach, promised payment dates, and issue resolution progress.<br>• Analyze aging information and provide regular updates on delinquent accounts, collection trends, and recovery expectations to leadership.<br>• Take action on open receivables to help shorten payment cycles and improve overall accounts receivable performance.<br>• Assist with applying incoming payments and reconciling account activity when support is needed across the receivables process.<br>• Contribute to month-end activities by sharing account updates and expected collections tied to overdue balances.<br>• Handle customer interactions with professionalism and a service-minded approach while working toward payment resolution.
<p>We are looking for a Business to Business Collections Specialist to support accounts receivable efforts for a wholesale distribution organization in Santa Fe Springs, California. This position is ideal for someone with strong commercial collections experience who can balance persistence with professionalism while helping maintain healthy customer accounts. The role focuses on following up on open balances, researching payment issues, and partnering with customers and internal teams to improve collection results.</p><p><br></p><p>Responsibilities:</p><p>• Review a portfolio of customer accounts each day to track aging balances and prioritize collection activity.</p><p>• Reach out to customers regarding past-due invoices and drive prompt payment through consistent, thorough follow-up.</p><p>• Research account history, billing records, and prior transactions to determine the cause of outstanding balances.</p><p>• Address invoice disputes and payment concerns by coordinating with the appropriate internal stakeholders and customers.</p><p>• Investigate and help resolve credit-related issues that may affect collection timelines or account standing.</p><p>• Maintain accurate notes, payment updates, and status changes within account records and related databases.</p><p>• Prepare regular reports that summarize collection efforts, account trends, and progress against assigned goals.</p><p>• Support cash collection objectives by managing workload effectively and escalating higher-risk accounts when needed.</p>
<p><strong>A healthcare organization in the Torrance area is seeking a Collections Specialist to join its team. The Collections Specialist will be responsible for managing outstanding accounts and securing payments from external healthcare-related organizations, including drug testing facilities, health screening facilities and various businesses. </strong></p><p><br></p><p><strong>The ideal candidate will have prior experience in collections, B2B collections, strong communication skills, and the ability to manage account follow-up in a high-volume environment.</strong></p><p><br></p><p><strong>Key Responsibilities:</strong></p><p><br></p><ul><li>Collect payments and copayments from outside healthcare organizations</li><li>Make outbound calls to follow up on outstanding invoices and secure prompt payment</li><li>Review client accounts and initiate communication regarding account cleanup</li><li>Maintain accurate account notes and payment follow-up activity</li><li>Handle a daily call volume of approximately 18 to 20 calls to outstanding accounts</li><li>Work collaboratively with internal teams to resolve billing and payment discrepancies</li></ul><p><strong>Work Arrangement:</strong> In-office initially, transitioning to a hybrid schedule after training</p>
<p>Robert Half is seeking an AR Specialist to join our finance team in Downtown LA! As an AR Specialist, you will play a crucial role in managing our accounts receivable operations. You will be responsible for processing customer invoices, managing customer accounts, reconciling payments, and ensuring all financial transactions are accurately recorded in our Great Plains accounting system. This position offers the opportunity to work in a dynamic environment and contribute to the efficient financial management of the organization. For immediate consideration, please call our office at 213.629.4602 for consideration.</p><p> </p><p>· Entering, posting and reconciling of batches.</p><p>· Researching and resolving customer A/R issues</p><p>· Preparing aging reports</p><p>· Placing billing and collection calls</p><p>· Maintaining cash receipts journal, as well as updating and reconciling the sub-ledger to the G/L.</p><p>· Good attention to detail and strong Microsoft Excel skills.</p><p>· 1+ year of recent Accounts Receivable,</p><p>· Experience with Great Plains is a must.</p><p> </p>
<p>We are looking for an Accounts Receivable/Purchasing Specialist to support billing, payment posting, collections, and purchasing activities for a busy team in City of Commerce, California. This Long-term Contract opportunity is well suited for someone who is confident in customer communication, highly organized in daily follow-up work, and comfortable managing multiple financial tasks in a fast-paced environment. The ideal candidate will bring strong experience with accounts receivable operations, be bilingual, and have hands-on knowledge of QuickBooks Enterprise Desktop and Microsoft Excel.</p><p><br></p><p>Responsibilities:</p><p>• Manage incoming receivables by preparing invoices, recording customer payments, and maintaining accurate account balances.</p><p>• Conduct commercial collections outreach through regular phone and written follow-up to resolve overdue balances and secure timely payment.</p><p>• Apply cash receipts to the correct customer accounts and investigate discrepancies to keep records current and accurate.</p><p>• Support billing operations by reviewing charges, correcting errors, and ensuring invoices are issued promptly.</p><p>• Track daily cash activity and update financial records in QuickBooks Enterprise Desktop with a high level of accuracy.</p><p>• Assist with purchasing-related tasks, including processing orders and coordinating documentation tied to vendor transactions.</p><p>• Use Excel to organize account data, monitor aging reports, and prepare routine status updates for internal stakeholders.</p><p>• Communicate professionally with customers and internal teams in both languages as needed to address payment and account questions.</p>
<p>The market is heating up for Accounts Receivable Specialists. Companies, small and large, are looking for skilled Accounts Receivable (A/R) Specialists for temporary and temporary to full-time opportunities. As an Accounts Receivable (A/R) Specialists you should have experience with the entering, posting and reconciling of batches, researching and resolving customer A/R issues, preparing aging reports, placing billing and collection calls, maintaining the cash receipts journal, as well as updating and reconciling the sub-ledger to the G/L. Accounts Receivable (A/R) Specialist candidates should have good attention to detail and strong Microsoft Excel skills. If you are an Accounts Receivable (A/R) Specialists and want to join our team, please submit your resume to and then call 626.463.2030</p><p>Customer Invoicing:</p><p>· Generate and issue invoices to customers in a timely manner.</p><p>· Ensure accuracy and completeness of invoice details.</p><p>Billing Disputes:</p><p>· Resolve billing discrepancies with customers promptly.</p><p>· Communicate with internal teams to address and correct billing issues.</p><p>Payment Processing:</p><p>· Record and apply customer payments to their respective accounts.</p><p>· Reconcile payments received with outstanding invoices.</p><p>Credit Management:</p><p>· Evaluate and set credit limits for customers.</p><p>· Monitor customer credit balances and follow up on overdue payments.</p><p>Cash Application:</p><p>· Apply cash received to the appropriate customer accounts.</p><p>· Reconcile discrepancies between payments and invoices.</p><p>Aging Reports:</p><p>· Generate and analyze accounts receivable aging reports.</p><p>· Identify and address overdue accounts and potential risks.</p><p>Customer Communication:</p><p>· Communicate with customers regarding payment terms and outstanding balances.</p><p>· Provide necessary documentation and information to support payment inquiries.</p><p>Reconciliation:</p><p>· Reconcile accounts receivable sub-ledger with the general ledger.</p><p>· Investigate and resolve any variances between the two.</p><p><br></p><p><br></p><p><br></p>
We are looking for an Accounts Receivable Specialist to support contract-based collections and customer account follow-up efforts in Fountain Valley, California. This Contract position is ideal for someone who can communicate confidently with business contacts, manage outreach with consistency, and keep account records accurate and up to date. The person in this role will help strengthen receivable recovery activities while contributing to more efficient collection workflows and internal coordination.<br><br>Responsibilities:<br>• Manage outreach to business contacts and organizational decision-makers to address past-due accounts and encourage timely payment.<br>• Review daily receivable activity and determine which accounts require immediate follow-up based on balance status and aging.<br>• Place outbound calls and send written follow-up communications to resolve outstanding invoices and support collection goals.<br>• Record customer conversations, payment updates, and account actions in Google Sheets and related tracking documents.<br>• Maintain organized account notes so that all collection activity is clearly documented and easy to reference.<br>• Work closely with leadership to identify patterns, improve follow-up methods, and strengthen recovery results.<br>• Help refine collection procedures and communication workflows to improve efficiency and consistency across account management efforts.
<p>We are looking for an Accounts Receivable Specialist to join a team in Mission Viejo on a Contract to Permanent basis. This opportunity is ideal for someone who is highly organized, comfortable handling financial records, and confident working with customer accounts in a fast-paced setting. The role focuses on maintaining accurate receivables activity, supporting billing and payment processes, and ensuring customer information is recorded correctly.</p><p><br></p><p>Responsibilities:</p><p>• Establish and maintain job records within the company system with close attention to accuracy and completeness.</p><p>• Apply incoming payments to the appropriate customer accounts and reconcile cash activity in a timely manner.</p><p>• Create and update customer profiles to ensure billing and account information remains current.</p><p>• Perform high-volume data entry related to receivables, payments, and account documentation.</p><p>• Support billing operations by preparing, reviewing, and processing account-related transactions.</p><p>• Monitor outstanding balances and assist with commercial collections efforts to encourage prompt payment.</p><p>• Recent QuickBooks Enterprise and/or QuickBooks Online to manage receivables activity and maintain financial records is required. </p>
<p>We are looking for an Accounts Receivable Specialist to support the financial operations of our merchandise branding business in Los Angeles, California. This role focuses on maintaining accurate customer accounts, driving timely collections, and ensuring cash receipts are posted correctly across a high-volume portfolio. The right candidate brings strong attention to detail, sound judgment, and the ability to work collaboratively with customers, sales partners, and finance teams to resolve billing and payment issues efficiently.</p><p><br></p><p>Responsibilities:</p><p>• Oversee an assigned portfolio of customer accounts and track outstanding balances to support consistent cash flow.</p><p>• Review receivable aging regularly, contact customers regarding overdue invoices, and follow through to secure prompt payment.</p><p>• Investigate billing questions, disputed charges, and account variances, then coordinate with internal teams to bring issues to resolution.</p><p>• Reconcile customer accounts, identify discrepancies, and prepare documentation needed to correct balances, including approved credits.</p><p>• Apply incoming payments accurately across wire transfers, lockbox receipts, checks, credit cards, and other remittance sources.</p><p>• Balance daily cash activity by matching receipts to supporting reports and resolving unapplied cash or payment differences.</p><p>• Upload invoices and backup documents to customer billing portals, monitor submission status, and address rejections or delays.</p><p>• Document collection activity thoroughly, maintain clear account records, and escalate high-risk or severely past-due situations when needed.</p><p>• Provide coverage for other accounts receivable team members and contribute to special accounting assignments as business needs evolve.</p>
<p>We are looking for an Accounts Receivable Specialist to join a fast-paced organization in Los Angeles, California. This contract opportunity with potential for a permanent position is ideal for someone who combines strong collections experience with careful cash application, account analysis, and customer support. The person in this role will help maintain healthy receivables, resolve billing issues efficiently, and contribute to accurate financial records across daily AR operations.</p><p><br></p><p>Responsibilities:</p><p>• Oversee an assigned portfolio of customer accounts, tracking open balances and taking timely action to keep receivables current.</p><p>• Analyze aging activity, contact customers regarding overdue invoices, and drive payment collection through effective outreach by phone and email.</p><p>• Reconcile customer accounts, investigate balance differences, and resolve billing issues, disputes, deductions, and short-paid items.</p><p>• Apply incoming payments from multiple sources, including wire transfers, lockbox receipts, checks, credit cards, and other remittance channels, with a high level of accuracy.</p><p>• Balance daily cash receipts against supporting reports and research unapplied cash or payment variances to ensure clean account records.</p><p>• Submit invoices and backup documentation through customer portals, monitor approval progress, and address rejected transactions or missing information.</p><p>• Prepare authorized credit memos, respond to customer questions about invoices and account balances, and document all account activity thoroughly.</p><p>• Escalate serious delinquency concerns to leadership when needed while maintaining productive customer relationships and reinforcing payment terms.</p><p>• Provide cross-coverage for other accounts receivable team members and assist with additional accounting assignments or special projects as business needs evolve.</p>
We are looking for an Accounts Receivable Specialist to join a real estate and property organization in California. This contract opportunity with permanent potential is ideal for someone who brings strong experience in receivables, tenant billing, and property-related financial operations. The person in this role will support day-to-day cash activity, maintain accurate resident and tenant account records, and help keep reporting and documentation organized across the portfolio.<br><br>Responsibilities:<br>• Record monthly deposit activity, apply rental rate updates, and maintain accurate resident account changes within financial records.<br>• Administer security deposit returns, issue reimbursements, and process resident referral payouts in a timely and accurate manner.<br>• Review aged receivables, prepare account summaries, and distribute outstanding balance information to tenants for follow-up.<br>• Maintain rent roll reporting and assist with cash flow tracking to support property-level financial visibility.<br>• Handle payroll-related processing and complete bank deposit activity using remote deposit scanning tools.<br>• Organize financial and property documentation, ensuring records are properly filed and easy to retrieve when needed.<br>• Post incoming payments, reconcile daily receipt activity, and support accurate accounts receivable processing.<br>• Collaborate with property management and accounting teams to resolve billing questions and tenant payment discrepancies.
<p>A Hospital system in Los Angeles is looking for an experienced Revenue Cycle Coding Manager. The Revenue Cycle Coding Manager will lead coding and charge capture performance, guide operational oversight, and partner with clinical and compliance stakeholders to strengthen accuracy, productivity, and reimbursement outcomes. The ideal Revenue Cycle Coding Manager candidate must bring deep knowledge of revenue cycle operations, medical coding standards, and team leadership within a fast-paced healthcare environment. This is a hybrid remote role Monday - Friday with equipment provided. </p><p><br></p><p>Responsibilities:</p><p>• Direct daily coding operations by assigning work, reviewing team output, and ensuring tasks are completed accurately, efficiently, and in alignment with established procedures.</p><p>• Analyze weekly and monthly performance results using key operational and quality indicators, then present trends and improvement opportunities to senior leadership.</p><p>• Supervise coding work queues and charge capture activity to confirm diagnosis, procedure, and billing details are properly documented and coded.</p><p>• Ensure urgent coding requests are prioritized and completed within required turnaround expectations.</p><p>• Partner with physicians, surgeons, and clinical leadership to address coding questions, resolve workflow issues, and escalate concerns when broader intervention is needed.</p><p>• Coordinate with compliance and coding leadership to support audits, communicate findings, implement corrective actions, and reinforce timely staff education.</p><p>• Lead team meetings, provide coaching on complex coding scenarios, and promote consistent adherence to departmental policies and quality standards.</p><p>• Oversee updates to charge documents, procedure listings, and code requests while supporting coding system conversions and related operational changes when required.</p><p>• Monitor regulatory updates, payer guidance, and industry developments, and communicate relevant coding changes to internal stakeholders.</p><p>• Conduct quality reviews, operational studies, and other assigned analyses to improve coding accuracy, team performance, and revenue cycle effectiveness.</p>
<p>We are looking for a Credit Specialist to join an electronic components manufacturing organization in Brea, California. This contract opportunity with permanent potential is ideal for someone who thrives in a fast-paced finance environment and can confidently manage account reconciliations, payment issues, and deduction research. The person in this role will help maintain accurate customer account balances, support healthy cash flow, and collaborate with internal partners to resolve billing-related concerns.</p><p><br></p><p>Responsibilities:</p><p>• Reconcile assigned customer accounts by reviewing chargebacks, short payments, and other account discrepancies to ensure records remain accurate.</p><p>• Investigate overdue invoices and follow up with customers to secure payment or determine the cause of delayed remittance.</p><p>• Analyze customer deductions, validate supporting documentation, and work toward timely resolution of disputed items.</p><p>• Review account standing and release orders for shipment when credit conditions and payment status support approval.</p><p>• Prepare recurring updates for leadership that highlight collection activity, aging trends, cash expectations, and past-due balances.</p><p>• Partner with teams across sales, sales support, and accounting to address billing questions and resolve account-related issues efficiently.</p><p>• Provide guidance to colleagues within the credit function when training support is needed or assigned by management.</p><p>• Offer backup assistance for select supervisory tasks when department leadership is unavailable.</p><p>• Contribute to additional credit and collections activities as needed to support departmental priorities and service levels.</p>
<p>A healthcare company is looking for an experienced <strong>Credentialing Specialist</strong> to lead credentialing and provider data activities for a healthcare organization in Long Beach, California. The Credentialing Specialist is responsible for managing provider onboarding, recredentialing, payer enrollment support, and provider record maintenance while ensuring compliance with regulatory, accreditation, and health plan requirements. The Credentialing Specialist will also collaborate with internal teams to improve workflows, maintain audit readiness, and promote accurate, consistent credentialing practices.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage day-to-day credentialing activities for providers, including initial appointments, reappointments, and related follow-up tasks.</li><li>Coordinate provider onboarding, recredentialing cycles, payer enrollment support, and privileging documentation to ensure timely processing.</li><li>Maintain compliance with accreditation standards, delegated credentialing requirements, and applicable state and federal regulations.</li><li>Review credentialing files, provider rosters, and supporting documentation for completeness, accuracy, and timely updates.</li><li>Monitor credentialing volume, track turnaround times, and help resolve issues that may delay provider processing.</li><li>Conduct routine audits of credentialing records and assist with preparation for internal and external audits or delegated reviews.</li><li>Partner with leadership and cross-functional teams to support process improvements, policy updates, and reporting needs.</li><li>Maintain provider data integrity across systems to support accurate reporting, downstream operations, and compliance requirements.</li></ul><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
<p>A healthcare organization in Long Beach, California is seeking an experienced <strong>Credentialing Specialist</strong> to support core credentialing and provider data operations. This role is responsible for managing provider onboarding, recredentialing, payer enrollment support, and provider record maintenance while ensuring compliance with regulatory, accreditation, and health plan requirements. The Credentialing Specialist will also collaborate with internal teams to improve workflows, maintain audit readiness, and promote accurate, consistent credentialing practices.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage day-to-day credentialing activities for providers, including initial appointments, reappointments, and related follow-up tasks.</li><li>Coordinate provider onboarding, recredentialing cycles, payer enrollment support, and privileging documentation to ensure timely processing.</li><li>Maintain compliance with accreditation standards, delegated credentialing requirements, and applicable state and federal regulations.</li><li>Review credentialing files, provider rosters, and supporting documentation for completeness, accuracy, and timely updates.</li><li>Monitor credentialing volume, track turnaround times, and help resolve issues that may delay provider processing.</li><li>Conduct routine audits of credentialing records and assist with preparation for internal and external audits or delegated reviews.</li><li>Partner with leadership and cross-functional teams to support process improvements, policy updates, and reporting needs.</li><li>Maintain provider data integrity across systems to support accurate reporting, downstream operations, and compliance requirements.</li></ul><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
<p>A Hospital in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The Medical Coder role will focuses on accurate coding for surgical and related outpatient services, helping ensure clean claims, reliable reimbursement, and strong compliance with payer and regulatory standards. The person in the Medical Coder role will work closely with revenue cycle partners, clinical teams, and leadership to resolve coding issues, improve documentation quality, and maintain consistent coding performance. This position is a remote Monday - Friday. CPC or CCS licence is a MUST for consideration. This role is remote Monday - Friday with equipment provided.</p><p><br></p><p>Responsibilities:</p><p>• <u>Orthopedic Surgical Coding, Surgical Abstracting, and MediCal & CCS coding and billing guidelines (Top Requirements) </u></p><p>• Examine surgical charge documentation and clinical records to assign accurate diagnosis, procedure, and modifier codes for billing and reimbursement activities.</p><p>• Validate charge capture details, correct coding discrepancies, and confirm proper linkage between diagnoses and procedures before claims move forward.</p><p>• Apply ICD-10 and CPT coding standards to surgical and designated diagnostic cases, including review of complex encounters requiring careful interpretation.</p><p>• Manage daily claim and coding work queues, monitor ticket volume, and help maintain timely and accurate claim submission processes.</p><p>• Review scanned charge documents for completeness and coding accuracy, escalating unusual or high-risk issues when necessary.</p><p>• Support reporting and trend analysis by tracking coding errors, identifying recurring issues, and sharing findings with management for process improvement.</p><p>• Collaborate with revenue cycle staff, physicians, clinicians, and departmental leadership to address questions, resolve escalations, and strengthen coding quality.</p><p>• Maintain working knowledge across multiple specialties and remain current on payer rules, Medi-Cal guidance, CCS, Medicare requirements, and other compliance expectations.</p><p>• Participate in audits, department meetings, and ongoing education activities while assisting with coding records management and other assigned duties.</p><p><br></p><p>TO APPLY, ONLY send resume directly to Mike Romero at Mike [dot] Romero [at] RobertHalf [dot] [com]</p>
We are looking for a Benefits Specialist to join a team in Irvine, California in a Contract to Permanent role. This position supports the delivery of employee benefits programs by helping with enrollments, employee inquiries, records management, and benefits system activity. The ideal candidate brings strong attention to detail, a service-oriented approach, and the ability to manage several priorities while contributing to a positive employee experience.<br><br>Responsibilities:<br>• Provide day-to-day support for health, retirement, life, disability, and voluntary benefit programs while ensuring employees receive accurate and timely assistance.<br>• Investigate and resolve issues related to enrollments, eligibility, carrier connections, billing questions, and claims concerns.<br>• Guide employees through benefits processes and help them use benefits administration tools effectively.<br>• Process benefits-related events such as employee enrollments, life status changes, and open enrollment activities while monitoring deadlines and documentation requirements.<br>• Partner with HR teams and internal stakeholders to verify data accuracy, reconcile records, and address discrepancies with carriers or system files.<br>• Assist with audits, testing, troubleshooting, and ongoing maintenance for HRIS and benefits administration platforms, including support for system updates or implementations when needed.<br>• Coordinate assigned benefits projects by tracking milestones, organizing communications, maintaining documentation, and following through on action items.<br>• Contribute to process improvements, employee communications, wellness initiatives, and compliance reporting to strengthen consistency and engagement across the organization.