6 jobs found in Laguna Hills

Job Description Job Description Description: We are seeking a detail-oriented and knowledgeable Medical Biller to join our medical practice. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims, and maintaining medical records. This role is crucial in facilitating the financial operations of our medical office while ensuring compliance with healthcare regulations. Requirements: Responsibilities Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues Follow up on claims using...

Medical Biller IIAmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.Location: Laguna Hills, CA (This is an on-site position; remote work is not an option at this time.)Schedule: Monday to Friday, 8:30AM-5:00PM The Medical Biller II is responsible for managing the complete medical billing cycle for assigned accounts to ensure timely and accurate reimbursement from government and commercial payers. Duties and Responsibilities Review patient accounts to ensure all required documentation, authorizations, and insurance information are complete prior to billing. Prepare, review, and submit accurate medical claims to government and commercial payers in a timely manner. Verify coding, modifiers, place of service, units, and billing...

Job Summary This position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and patient billing. Qualified candidates must review accounts for billing accuracy to maximize reimbursement, pursue tenacious follow‑up on claim status, appeal, re‑bill or forward claims for recalculation, and possess detailed knowledge of all medical benefit levels and federal, state, PPO, HMO and indemnity plan structures. Candidates must meet or exceed performance standards on assigned accounts. Essential Responsibilities Data entry and correct insurance assignment to patient accounts, verify insurance eligibility, and review/update demographics and patient information for accuracy. Apply appropriate coding systems (CPT, ICD‑9, HCPCS, coverage, LCD/NCD) and understand reimbursement associated with such codes. Process, validate payer requests and processed claims via correspondence, remittance...

AmeriPharma in Laguna Hills, CA is seeking a Medical Biller II to manage the full billing cycle for assigned accounts. This on-site role emphasizes accurate coding, timely submissions, and payer communications. You will review documentation, submit claims to Medicare, Medicaid, and commercial payers, resolve denials, and work with cross-functional teams to improve cash flow while maintaining HIPAA compliance.

Medical Biller IIAmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.Location: Laguna Hills, CA (This is an on-site position; remote work is not an option at this time.)Schedule: Monday to Friday, 8:30AM-5:00PMThe Medical Biller II is responsible for managing the complete medical billing cycle for assigned accounts to ensure timely and accurate reimbursement from government and commercial payers.Duties and ResponsibilitiesReview patient accounts to ensure all required documentation, authorizations, and insurance information are complete prior to billing.Prepare, review, and submit accurate medical claims to government and commercial payers in a timely manner.Verify coding, modifiers, place of service, units, and billing requirements...

Collections And Medical Billing SpecialistThis position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and Patient Billing. Qualified candidates must be able to review accounts for billing accuracy in order to maximize reimbursement. Persuasive and tenacious follow-up on claims status, appeal, and re-bill or forward claims for recalculation and/or adjudication as necessary. Must possess detailed knowledge of all medical benefit levels and have a thorough understanding of Federal, State, PPO, HMO, and Indemnity Plans structure. Must meet or exceed the standard level of performance on assigned accounts.Essential Responsibilities:• Data entry, correct insurance assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy.• Working knowledge of appropriate coding systems; CPT, ICD-9 and HCPCS, coverage;...