29 jobs found

Hybrid Remote for local SoCal candidates. 3 positions remaining. MUST HAVE EXPERIENCE with California payer mix (Medi-cal and other California only guidelines). Department: Patient Financial Services LENGTH OF CONTRACT: 6 months HOURLY RATE RAGE: $28.00-$31.15 (w2) Our client is looking for coders, in accordance with current federal coding compliance regulations and guidelines, can use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, reconcile and review procedure and physician documentation in order to code, and enter into PBAR, Cerner or other electronic medical billing systems. The person selected for the role understands coding/billing computer systems in a manner to assure bills drop timely with appropriate codes. He/she must meet the productivity and accuracy/quality standards including, but not limited to 98% of CCL charges entered into the electronic medical billing system within 3 days of date of service. The ideal...

LHH is looking for a dynamic Mental Health Biller to in North Hollywood, CA. Responsibilities: Submit billing to the Department of Mental Health (IBHIS System) Verify insurance benefits with carriers Prepare and monitor reports like CalAIM and the DMH Dashboard Track utilization of funding sources and ensure accurate billing Manage denied claims and assist with audits Provide training and guidance to other staff as needed What We're Looking For: A minimum of 2 years of recent mental health billing experience is required. Pay Details: $21.00 to $25.00 per hour Search managed by: Joanna Calderon Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In...

Job Description We are looking for HCC Risk Adjustment Auditors/Coders to join our team ! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager in providing expertise in the use and application of coding classifications such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services. Essential Duties and Responsibilities include the following: Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis...

LHH seeks a bilingual Medical Biller in Los Angeles, CA. Responsibilities: Review and analyze medical records to ensure accurate coding and billing. Assign appropriate codes using ICD-9, ICD-10, and DRG coding systems. Verify patient information and insurance coverage for billing purposes. Prepare and submit claims to insurance companies. Follow up on unpaid claims and resolve any billing discrepancies. Maintain patient confidentiality and adhere to HIPAA regulations. Collaborate with healthcare providers to ensure accurate documentation and coding. Requirements: A minimum of 2 years of recent Medical Billing experience Proven experience as a Medical Biller or in a similar role. Familiarity with insurance guidelines and reimbursement processes. Strong attention to detail and accuracy in coding and billing procedures. Excellent communication skills to interact with patients, healthcare providers, and insurance companies....

Global Management Solutions, Inc., is based and operatesin California and provides administrative support services to healthcareproviders. It is not associated in any manner with a janitorial servicescompany by the same name based in Pennsylvania. Full time HOSPICE Biller/Collector in our Reseda office Must have hospice billing and collections experience. Mon-Fri 9am-6pm - Hourly rate depends on experience, range is $22-27/hr POSITION SUMMARY: The Medical Biller is responsible for the preparation of billing documents for private insurance, Medicare/Medicaid and private pay sources and maintenance of fiscal or related records. QUALIFICATIONS: High school diploma or GED certificate One year medical clerical experience including coding/medical billing and/or have completed a medical assistant course that includes requirements for medical claims Knowledgeable about coding systems, billing requirements, specialized medical terminology, computers and billing...

Job Description Job Description Position Purpose: The Certified Medical Coder plays a crucial role in the Billing Department by ensuring precise and compliant coding of medical services. Under the guidance of the Billing Department Supervisor, the Coder will assign appropriate diagnosis and procedural codes for services provided by JWCH physicians, adhering to industry standards and legal requirements. This position involves validating and auditing coding practices to guarantee accuracy in billing, supporting optimal reimbursement, and maintaining adherence to regulatory guidelines. Duties and Responsibilities: Serve as the primary liaison between providers and the Billing Department, effectively communicating to clarify diagnoses, procedures, coding, and documentation requirements. Recommend appropriate ICD-10-CM, CDT diagnosis codes, CPT codes, and HCPCS codes. Regularly review diagnosis and procedure coding within NextGen to ensure optimal billing accuracy....

Job Description Job Description Woodland Hills Medical Billing company is looking for an experienced, reliable medical biller to work in our fast paced company. This is a full time position with full benefits. The ideal candidate will possess the following skills 2+ years of Medical Billing experienced required Understanding of CPT and ICD-10 coding Ability to interpret EOB"s Familiar with the entire billing cycle Experience with Medicare, Medi-Cal, PPO, and HMO billing Attention to detail and the ability to multi-task Quick learner Excellent Communication skills Collections experience Independent worker Knowledge on how to do claims follow up Benefits include paid parking, medical & dental insurance, paid vacation time, ,sick time, life insurance, long term disability,401K with a match and more. This is not an entry level position  

Job Description Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit HEDIS coding and record collection...

Job Description Job Description   Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone.  Responsibilities  Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and...

Job Description Job Description We are seeking a skilled Medical Biller to join our team. As a Medical Biller, you will play a crucial role in ensuring accurate and timely billing and reimbursement for medical services. If you have a strong background in medical billing and coding, attention to detail, and excellent organizational skills, we encourage you to apply. Duties: - Review and verify medical documentation for accuracy and completeness - Assign appropriate medical codes (ICD-9, ICD-10, DRG) to diagnoses and procedures - Submit claims to insurance companies electronically or by mail - Follow up on unpaid claims and denials - Coordinate with healthcare providers to resolve billing discrepancies - Maintain patient records and update billing information as necessary - Process payments from insurance companies and patients - Prepare and submit appeals for denied claims - Stay up-to-date with changes in medical coding regulations and guidelines Requirements: - Proven experience...

Job Description Job Description Job Description     Medical Biller Summary of Duties: Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies. Supervision Received: Reports to CAO and CFO. Essential Functions: ·       Prepares and submits clean claims to various insurance companies either electronically or by paper. ·       Answers questions from patients, clerical staff and insurance companies. ·       Identifies and resolves patient billing complaints. ·       Prepares, reviews and sends patient statements ·       Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts. ·       Reviews accounts for possible assignment and makes recommendations to the COO, also prepares information for the collection agency. ·       Performs daily backups on office computer system ·       Performs various collection...

Job Description Job Description Description: Functions and responsibilities of the role: Answer telephones with pleasant greeting Computerize tasks such as exam forms and patient charts Obtain insurance authorizations and verify eligibility Filing Appointment scheduling and confirming Prepare insurance billing Email recall notices/cards Replenish office supplies Report areas to improve and innovations Report insurance updates Maintain inventory control Provide coverage and perform duties at Reception desk, when needed Requirements: Level of education needs to be specified High school graduate required College or vocational courses preferred Previous experience, certifications and technical skills should be outlined Microsoft Office

Job Description Job Description CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our Global Network and be a CHA Global Ambassador CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries. Our New Facility is seeking for Top Talents The best women’s hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and caring...

Job Description Job Description Mission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: The Medical Biller is responsible for reviewing patient encounters, ensuring billing accuracy, and processing claims for various payer sources. This position plays a critical role in maximizing revenue by adhering to payer guidelines, investigating discrepancies, and ensuring timely payment processing. The Medical Biller will also work closely with the Billing Supervisor to provide updates on billing discrepancies, manage rebills, adjustments, write-offs, and ensure payment posting is up to date. Principal Responsibilities: Review all patient encounters for discrepancies in a timely manner to prevent submission errors to insurance providers. Monitor and...

Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, process all forms needed for insurance billing purposes, and collect necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare. Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance...

Job Description Job Description About Our Client: Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the lives of those they serve. Role Summary This role involves performing detailed retrospective medical claims reviews to ensure accurate coding and pricing determinations for inpatient and outpatient services. As a subject matter expert, the Medical Claims Coder Specialist provides essential guidance on coding practices and compliance, collaborating with internal teams and external providers to support high-quality and efficient healthcare delivery. Required Qualifications High School Diploma or GED. Current certification as one of the following: Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) Registered Health Information Technician (RHIT) Registered Health...

Job Description Job Description Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in billing/collections in a skilled nursing environment. This position will help to support 3 nursing facilities in a centralized billing environment. The Medicare Biller / Collector will be responsible for the coordination of collecting money from Medicare and the Medicare part A and part B coinsurance. They will support the function of Medicare and Medicare coinsurance collections to give it more focus and establish efficient methods of collecting. What You Will Do: Responsible to bill Medicare, Managed Care, Medical, Co-Insurance, and various share of costs. Setup new admissions medical records system to bill accurately Review billing documentation to ensure completeness, including accuracy of Medicare claims Manage submission of claims to Medicare and Medicare coinsurance to...

Job DescriptionThe Supervisor, Clinical Operations Oncology RN is responsible for supervising the clinical staff and clinical operations of the Oncology department by performing the following duties personally or through assigned personnel. The Supervisor is expected to manage the overall unit, is for budget management, scheduling, payroll, overall safety of the unit, policies/procedures are accurate and complete, appropriate staffing levels. Although not a staff nurse, will be expected to step into direct patient care if urgent need arises. Duties and Responsibilities: Assists in the development, review, and revision of standard operating policies and procedures in collaboration with senior management. Performs nursing tasks and functions within the scope and practice of RN licensure. Oversees and maintains needed staff certifications and licensing requirements. Provides education to clinical staff regarding the unit's program(s) as well as regulatory requirements. Is able to...

Description Play a key role with a world-class health organization. Help ensure the operational efficiency of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health. You will be responsible for coding diagnoses and procedures for assigned cases. This will involve using your knowledge of UCLA, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment, and procedures. You will assign ICD-10-CM/PCS and CPT/HCPCS codes for patients receiving our services while correctly assigning DRGs for all patients to assure accurate reimbursement and the highest quality data possible. You will abstract all coded data in a timely and accurate manner into the abstracting system. Salary Range: $56.95/hourly - $70.81/hourly Qualifications We're seeking an independent, detail-oriented, self-directed individual with: Associate degree...

Monday, November 11, 2024 Motion Picture Industry Pension & Health Plans (MPI) is seeking a Compliance Auditor to join our Audit & Collections team. The Compliance Auditor is responsible for conducting payroll audits to ensure employers are in compliance with various Collective Bargaining Agreements and MPI’s Trust Fund Agreements. Please note this position works onsite in our office in Studio City, CA. Qualified candidates only, please submit letter of interest with resume and salary requirements for consideration. MPI offers free employee health, dental, vision and life insurance ($50/month for family coverage), retirement and pension, and generous paid time off. Qualifications BA or BS degree, preferably in Business Administration, Finance, or Accounting; and or equivalent experience 2-4 years’ experience in audit, accounting, bookkeeping, or payroll Payroll auditing experience within another entertainment company/trust fund preferred Strong analytical...

Medical Biller Location:Los Angeles, CA Job ID:2835 Salary:$22.87 - $24.08 Per Hour Area of Interest:Health Support Services Division:Adult Services Shift Type:Day About Us: VOALA Helping Our Most Vulnerable Change Their Life Stories Volunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs, Upward Bound college prep programs, veterans- services, homeless shelters, low-income housing program as well as drug and alcohol rehabilitation. Learn more atwww.voala.org. PAY RATE:$22.87 - $24.08 Per Hour BENEFITS:VOALA offers competitive medical, dental, vision and retirement benefits. JOB SUMMARY AND PURPOSE While maintaining patient confidentiality and information security, the E.H.R. Billing Specialist will review, track and submit for review, patient service records. This...

Health Atlast West LA is a multi-specialty medical clinic offering internal medicine, physical medicine & rehabilitation, physical therapy, chiropractic, acupuncture and massage. We are looking to expand our clinic team by adding an additional Medical Biller to our team. We what people who want to be part of a team and have the same goals and purposes to help people. The ideal candidate: Has experience and is comfortable with medical billing from start to finish under light supervision. Setting up the patient accounts, verifying the information is accurate and ready to send to clearing house, uploading to clearing house, download claims back into Chirotouch and reconcile accounts. Has experience with insurance verifications. Is comfortable with meeting targets/goals, multitasking and producing quality work in a timely manner Has a typing speed of at least 40 wpm. Responsibilities: Authorizing/Verifying insurance benefits Billing for medical, physical therapy,...

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally.  Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them.  We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients.  A significant part of our business is providing patient support programs on the behalf of our customers.  With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world’s largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products.  With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing...

Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance landscape, including collecting all...