16 cpc certified professional coder jobs found in Riverside, CA

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...

Job Description Job Description Benefits: Competitive salary Paid time off Training & development About ZapZzz: ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need. We are seeking a dedicated and detail-oriented Medical Biller with experience in sleep apnea billing. The ideal candidate will bring both technical expertise and a proactive approach to managing insurance claims, billing processes, and revenue cycle operations. Position Summary: The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing...

Benefits Competitive salary Paid time off Training & development About ZapZzz ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need. Position Summary The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing codes, compliance guidelines, and patient account management. The Medical Biller will play a critical role in ensuring timely reimbursement and supporting the financial health of the program. Responsibilities Prepare, review, and submit accurate insurance claims for sleep apnea treatments and devices in...

Job Description Job Description Job Summary Medical Biller The Medical Biller reports to the Billing Manager in person at our office in Ontario, CA and is responsible for the accurate, compliant, and timely billing of clinical laboratory services, including blood testing, microbiology/culture testing, and toxicology services. This role requires strong expertise in Medicare Part A vs Part B billing, skilled nursing facility (SNF) workflows, and commercial payer laboratory billing rules. The Medical Biller manages claims from Pending Review through payment resolution while ensuring full compliance with Medicare, Medicaid, and commercial payor regulations. NO remote work available Supervisory Responsibilities None Essential Duties and Responsibilities Laboratory Billing & Claims Management Review laboratory patient demographics, insurance, ordering provider, and facility information. Prepare, review, and submit insurance claims for...

Job Description Job Description We are a speciality practice located in Upland looking for an experienced Biller to join our team. This is a full time position with an immediate opening. Candidates must have the ability to analyze, identify and resolve issues causing payer payment delays. We offer medical, dental, 401K, vacation and sick pay. Candidate must have reliable transportation. Previous experience with workers compensation is required. Schedule is Monday-Friday 8am-5pm. QUALIFICATION: Minimum 2 years experience in Billing Excellent communication skills (both verbal and written Knowledge of ICD-10 and CPT Codes Proficient with Excell Responsible and Reliable Professional Organized Fast Learner Ability to Prioritize Detail Oriented Ability to Multi-Task Credentialing Experience Adaptable and Flexible Bilingual preferred JOB DESCRIPTION: ( Include but not limited to ) Contacting Insurance Companies ​Submitting Authorizations Answering Phone Calls...

Job Description Job Description 1–3 years in hospital accounts receivable, medical collections follow up, or healthcare collections. Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement. Familiarity with payer guidelines such as Medicare, Medi-Cal and commercial payers Strong communication skills for payer interactions. Proficiency in hospital billing and follow up systems and Microsoft Office. Attention to detail and ability to analyze claim denials and payment variances. Review hospital accounts receivable aging reports and prioritize collection efforts. Company Description Over the years, we have served hundreds of employers, ranging from start-ups to Fortune 500 firms, and we have helped nearly 30,000 people to find rewarding employment. We are a temporary, temp to hire and Direct Hire Staffing Firm that exceed expectation's!. Today, we are Staffing Resolutions, an organization providing consulting, training, recruiting and staffing services to...

ABA Billing Specialist Key Responsibilities: Submit accurate and timely claims for ABA services to private insurance, Medicaid, and other payers Verify insurance eligibility and benefits for new and existing clients Track and follow up on unpaid or denied claims; initiate appeals as needed Manage authorizations, re-authorizations, and documentation requirements for ongoing services Reconcile payments, post EOBs, and generate client invoices as needed Maintain compliance with HIPAA, payer guidelines, and ABA-specific billing codes (e.g., CPT 97151, 97153, 97155) Collaborate with BCBAs, administrative staff, and families to resolve billing issues and ensure smooth revenue cycle operations Requirements: 2+ years of medical billing experience, with a strong focus on ABA or behavioral health services Proficiency in billing software and clearinghouses (e.g., CentralReach, Office Ally, Kareo, SimplePractice) In-depth knowledge of ABA billing codes, modifiers, and...

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...

Job Description Job Description Description: 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 be able to (1) Review accounts for billing accuracy in order to maximize reimbursement. (2) Persuasive and tenacious follow-up on claims status (3) 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...

Job Description This role will oversee and complete administrative responsibilities related to medical billing. Key tasks include: Preparing and submitting billing data and medical claims to insurance companies in compliance with federal, state, and payer guidelines Preparing bills and invoices Investigating and resolving billing denials and rejections Completing payor-specific rules and regulations training Ensuring accuracy and compliance throughout the billing process We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability,...

A healthcare organization is seeking a Biller II to handle insurance billing and resolve denials in a full-time role. The successful candidate will have a minimum of 2 years of experience in medical billing, particularly in high dollar collections and adjustments. Responsibilities include preparing claims, ensuring accurate billing practices, and maintaining compliance with medical billing regulations. The candidate should have knowledge of ICD-10 codes, proficiency with Cerner, and strong analytical skills. Competitive compensation and benefits are offered. #J-18808-Ljbffr

Overview First Rescue Ambulance in Irwindale is actively hiring for qualified candidates who have at least two years of ambulance medical billing experience. Responsibilities Process claims for BLS and CCT level ambulance transports Obtaining referrals and pre-authorizations as required Verify insurance eligibility for all patient accounts Knowledge of Medicare and Medicaid Regulations and Billing Guidelines. Basic Knowledge of Commercial, PPO, and HMO Regulations and Billing Guidelines. Respond to inquiries from insurance companies, patients and clients Collection calls and/or correspondence with external clients or patients for payments Ability to assign ICD-10 diagnosis codes Ability to understand EOB to ensure claims are paid according to contractual guidelines Call insurance companies to resolve billing issues. Skills Requirements Sound knowledge of medical terminology and billing. Strong analytical and problem-solving skills. Excellent organizational skills. Effective...

Job Description Job Description First Rescue Ambulance in Irwindale is actively hiring for qualified candidates who have at least two years of ambulance medical billing experience. JOB DUTIES: Process claims for BLS and CCT level ambulance transports Obtaining referrals and pre-authorizations as required Verify insurance eligibility for all patient accounts Knowledge of Medicare and Medicaid Regulations and Billing Guidelines. Basic Knowledge of Commercial, PPO, and HMO Regulations and Billing Guidelines. Respond to inquiries from insurance companies, patients and clients Collection calls and/or correspondence with external clients or patients for payments Ability to assign ICD-10 diagnosis codes Ability to understand EOB to ensure claims are paid according to contractual guidelines Call insurance companies to resolve billing issues. SKILLS REQUIREMENTS: Sound knowledge of medical terminology and billing. Strong analytical and problem-solving skills. Excellent...

Position Summary We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. Candidates must have prior experience in an SNF setting and be proficient in billing Cal Optima, Medi-Cal, and HMO insurances. Essential Duties and Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Knowledge, Skills, and Abilities Proficiency in billing Cal Optima, Medi-Cal, Medicare, and HMOs Strong knowledge of SNF-specific billing codes and reimbursement processes Familiarity with electronic billing software Strong attention to detail and ability to work independently...

4 days ago Be among the first 25 applicants This range is provided by PrismHR. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.00/hr - $2,428.00/hr Direct message the job poster from PrismHR Huntington Valley Healthcare Center is a 140-bed facility centrally located in Huntington Beach, CA. We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. About the Role Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Qualifications Must have experience in SNF billing (applications...

HRC Fertility Clinic and Klassic Recruiting have partnered together in a search for a Charge Poster / Medical Data Entry role in Pasadena, California. Work Expectations : Excellent communication and organizational skills; ability to interface with the team members, nurses, physicians, patients and managers. Work Schedule : 80 hours per pay period, 8-hour workday Job Description Note: This document is intended to describe the general nature and level of work performed. It is not intended to serve as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. JOB FUNCTIONS AND RESPONSIBILITIES: Adhere to HRC Policies and Procedures. Perform the charge entry of Superbills for the various offices as assigned by the Billing Supervisor. Perform reconciliation of billed services. Assist the Billing Supervisor in conducting any research projects, audits and any other special projects. Other duties as assigned which may include...