9 jobs found in Mesa

The Specialist is responsible for resolving inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. The Specialist will ensure first-call-resolution standards are followed and wi Billing Specialist, Medical Billing, Operations, Revenue, Cycle, Medical, Healthcare

Job Description Primary Duties and Responsibilities The Specialist is responsible for resolving inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. The Specialist will ensure first-call-resolution standards are followed and will refer and follow-up as per Hoag guidelines. Ensure accuracy, reports issues, and works to resolve. Ensure compliance and regulatory guidelines and health plan requirements are met. Documents actions taken following HIPAA guidelines. May assist in providing customer service, member services, and others in working with providers/billing offices when needed. Assist in identifying and reporting issues working with the management team to help minimize re-work and address front-end process issues. Performs other duties as assigned. Revenue Cycle May also maintains databases, audit information and works with patients to process patient payment. May follow up...

Public - Responsibilities Manage the full-cycle billing process specifically for our mobile service sites throughout Orange County. Transition existing workflows from the Integration Manager to your desk, identifying efficiencies as you go. Ensure all mobile health encounters are coded accurately to maximize reimbursement and minimize denials. Work directly in-office to coordinate with the integration team, ensuring the mobile service launch continues to scale smoothly. Public - Required Skills 3+ years of full cycle billing experience Certified Professional Coder certification

Duties: Position Summary: -Reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes. -Codes are used for billing, internal and external reporting, research and regulatory compliance activities. -Resolves billing related errors and assists with workflow changes and process improvement projects. -Meets ongoing productivity and quality standard of 95% accuracy rate or better. -Verifies that all ICD-10 codes are correctly captured. -Verifies that physician is correctly abstracted. -Keeps abreast of coding guideline changes. -May identify chargeable items for facility level for given department. -May assign codes for diagnoses and treatment for ancillary outpatient encounters. -Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. -Performs other duties as assigned. -Additionally, the Coder III utilize0s technical...

We are seeking a Locum Tenens Coder II - Hoag Clinic in California. Locum Tenens Coder II - Hoag Clinic Position Type: Specialty: Non-Clinical - Patient Accounting Location: California Rate: Open & Negotiable Shift: Monday-Friday, morning shift (Remote eligible - see REQ notes for allowed locations) Start Date: 06/23/2025 End Date: 11/22/2025 Position Details: Patient Population: N/A Setting: Remote (Hoag Memorial Hospital Presbyterian, Costa Mesa, CA) Responsibilities: Review clinical documentation and diagnostic results. Apply appropriate ICD-10-CM, CPT, E/M, and procedure codes. Ensure accurate abstraction and documentation. Maintain coding accuracy of 95% or higher. Serve as a resource and coding consultant. Perform charge reviews and claim edits using Epic or other EMR. Required Procedures: ICD-10-CM, CPT, E/M, modifiers EMR System: Epic (or similar) Support Staff: N/A Days Per Month: 20 On-Call/Weekends: None Submission...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary We are seeking a Full Cycle Recruiter for our client who will manage the billing process for mobile service sites. Your goal will be to ensure accurate coding for maximum reimbursement and collaborate with the integration team for seamless service launch. Key Responsibilities Manage the full-cycle billing process specifically for our mobile service sites. Transition existing workflows from the Integration Manager, identifying efficiencies. Ensure all mobile health encounters are coded accurately to maximize reimbursement and minimize denials. Coordinate with the integration team to ensure the mobile service launch scales smoothly. Qualifications 3+ years of full cycle billing experience. CPC certification. Preferred experience in mobile or ambulatory environments. Schedule Monday - Friday, 8AM - 4:30PM...

Responsibilities Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet's success is its people with the commitment to a better healthcare experience. When you join RadNet as a Health Information Team Supervisor , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. You Will: Oversees the daily operations of the Health Information Department and Health Information Representatives. Perform continues monitoring and evaluate Health Information Representative's performance, identifying learning, coaching and training opportunities. Monitor staffing hours, overtime and productivity. Monitor customer complaints...

Job Description Job Description Are you the missing piece in protecting America’s safety net? We don’t just hire talent—we build purpose-driven teams. At ERN Enterprises, we stand in the gap for emergency safety net providers and the patients they serve. We hold health plans accountable. We speak up for those who can’t, and we’re looking for more than just a resume—we’re looking for you. ERN in the news: https://youtu.be/mw1TQhVFBKk The Mission Our Healthcare Claims Compliance Auditors are warriors for justice in Revenue Cycle Management. You’ll analyze unfair trends, initiate corrective actions, support prelitigation strategy, and make sure regulatory timelines are honored—not ignored. You’ll change lives and challenge systems. Do You Belong Here? We’re looking for people with: Competency – Do you have the skills or the hunger to learn them? Character – Are you ethical, reliable, and honest—even when no one’s watching? Chemistry – Can you collaborate, communicate,...

Job Description Job Description TTF is looking for a Prior Authorization/Verification Biller to work for a client in Costa Mesa, CA. The starting salary will depend on experience and our client offers a pleasant work environment.   Job duties include: Verify insurance information for upcoming procedures, obtain pre-authorization for procedures, explain to patients what their financial responsibilities will be, answer questions related to billing and submit insurance claims.  Experience working on ZirMed and Waystar knowledge is a plus.   Please send your resume to Chelle at CBodnar@TTFrecruit.com for consideration.   Qualified candidates should have previous experience in medical claim billing, insurance follow-up, and have knowledge of Medi-Cal guidelines. In addition, qualified candidates must have a stable work history and have the ability to pass a drug screen and background check.   TTF is a search and staffing company that partners with hospitals, physician groups,...