76 jobs found in Los Angeles, CA

Job Description Job Description Orthopaedic QME is a boutique, woman-owned medicolegal practice. We work with doctors, patients, and lawyers by providing a neutral and qualified medical expertise for workers compensation cases. We have a beautiful office in Marina del Rey, where you’ll work a Monday-Friday in-person shift. Hours are 8:30am-5pm. We’re looking for an organized, well-spoken, and responsible person to manage everything admin in the practice. You are: Polished and poised; even when you don’t know the answers to things you’re able to communicate professionally and clearly Organized with extreme attention to detail Technically savvy - you’ll spend the time learning the tools rather than slog through a manual process Excited to work in a fast-paced environment with a tight knit team What you’ll do: Code and finalize medlegal reportds Ensure service of reports to all parties Submit and track all billing Billing collections Processing of archival payments...

Job Description Job Description Summary MedPOINT Management is committed to conducting its business and operations following the highest legal and ethical standards. Our Code of Conduct sets forth our expectations of management, employees, and contractors to act under applicable laws and Company policy. MedPOINT’s Compliance Department ensures our culture maintains ethical standards, strives to significantly reduce the risk of fraud, abuse, and waste in the healthcare industry, and enhances the quality of services and care to patients. The Federal Sentencing Guidelines for Compliance Programs guide MedPOINT’s Compliance Program.   Duties and Responsibilities 1. Prepare and assist with submissions of universe reports and other audit documentation to external auditors from health plans 2. Prepare routine reporting on claims statistics for accuracy and turnaround time 3. Supports Utilization Management operations with Health Plan Oversight Audits/Ad Hoc Requests 4....

Job Description Job Description Salary Range:           $24.00 to $28.00 Hourly Summary : Responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Arroyo Vista Family Health Center initiatives.  DUTIES AND RESPONSIBILITIES:  Develops an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly Performs on-going chart reviews and abstracts diagnosis codes, clarifying documentation with provider for coding accuracy as needed.  Documents results/findings from chart reviews and provides feedback to management, providers, and office staff Provides training and education to network of providers on how to improve their HEDIS coding knowledge as well as provide coding updates related to HEDIS...

Job Description Job Description Position Purpose: Under the direct supervision of the Director of Quality Assurance, the Licensed Vocational Nurse (LVN) is responsible for supporting the compliance functions of the Quality Assurance and Performance Improvement department of JWCH. The responsibilities include but not limited to maintaining a defined review schedule for JWCH, Wesley Health Centers by doing preparatory work for the audit including developing a scope of work, reviewing documentation, preparing reports and doing any necessary follow-up reviews. Additionally, this position will ensure that appropriate data is collected, securely kept, maintained and serve as a resource to clients in answering compliance questions from Internal Audit and Audit Advisory Services. Essential Duties and Responsibilities : Conduct Compliance Reviews. Complete compliance reviews within established parameters and initiate and carry out all assigned reviews according to defined...

Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 20 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. We are urgently looking for Rx Claim coders for one of our healthcare client. Multiple positions open 100% REMOTE Must have experience Rx claims experience in most recent project Responsibilities Responsible for adjudicating all CoPay Assist Rx claims electronically. Responsible for adjudicating all Rx claims and billing. Build, maintain, and audit benefits in RxClaim Automated and manual testing using RxClaim Run patient Rx claim to get paid, and contact them for co-pay amount RXCLAIM And...

This position starts out onsite for the first 60-90 days and then will go remote reporting onsite one day a month! Insight Global is seeking a Billing Supervisor to support a large heathcare customer in Atlanta, GA. This individual is responsible for coordinating and supervises the billing and government follow-up functions for all hospital facilities in the system. Oversee a team of 18 individuals. Ensures daily billing of hospital revenue and accuracy and quality of billing activities. Works with hospital departments such as Admissions, Data Processing, Medical Records, ancillary areas, and patient care departments to monitor issues with account registration, charging, and coding to ensure efficiency in the patient account process. This supervisor will be hands on and required to step into the bill when needed. The individual needs to be strong with reporting and looking for trends! Qualifications: Associate degree preferably Bachelor degree 3+ years of...

Job Title: Medical Biller- DME Location: Los Angeles Job Number: 146686 Job Class: Temp to Hire One of the nation's largest Closed-Door Pharmacy, that specializes in DME supplies is searching foran experienced Medical Biller! Pay Rate Range: $23.00 - $25.00/hr. DOE Shift: Monday - Friday / 8:00AM - 4:30PM (1 x/month - Saturday) City: Los Angeles, CA Medical Biller Job Requirements: Must have either a total of 3 years of DME Billing/Collections experience or a combination of 1 year of current DME experience and 2 years of previous Billing/Collections experience Medical Billing and Collections knowledge Understanding of Managed Care, Medi-Care, and IPA/Medical Group Billing Experience with DME is required High School Diploma Referral Bonus: Referrals really pay off! Do you know of someone in healthcare looking for work? Refer them to MediQuest and earn up to $500 per referral depending on the type of position they accept! No...

Job Description Job Description Position Purpose: Under the direction of the Billing Department Supervisor, the Certified Medical Coder will be responsible for assigning diagnosis and procedural codes and modifiers for comprehensive medical services performed by JWCH physicians. The Certified Medical Coder must apply all appropriate coding guidelines and legal requirements to ensure compliance. The Coder will verify and perform audits on clinician-completed charge tickets by ensuring accuracy of code assignment and billing data. Duties and Responsibilities: Acts as the primary staff liaison between the providers and the Billing Dept.; and, effectively communicates to clarify diagnoses, procedures coding and documentation requirements. Recommends appropriate ICD-10-CM, CDT diagnosis codes, CPT codes and HCPC codes. Review diagnosis and procedure coding within Next-Gen, on a regular basis; and, ensure appropriate coding for optimal billing. Work closely with...

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 team right in...

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: Review encounters for all payers’ sources and maintain no more than 1% errors. Initiate investigation and correction for all discrepancies found in the encounters. Maximize the revenue following the individual payer guide lines. Initiate and investigate cover and non-cover services from all payer types. Provide weekly updates to the billing supervisor of all discrepancies found on the encounters. Review all accounts for potential re- bills, adjustments and write offs. Maintain payment posting up to date to better track the unpaid charges. Principal Responsibilities: Review all encounters for discrepancies on a timely manner to avoid submitting encounters...

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 medical,...

Job Description Job Description Position Title: Behavioral Health Coder Department: Patient Accounts Reports To: Revenue Cycle Supervisor POSITION SUMMARY We are seeking a highly skilled and experienced coder to join our team as a Behavioral Health Coder. The ideal candidate will have a strong understanding of CPT and ICD-10 codes used for billing for behavioral health care and will be responsible for ensuring accurate and timely submission of claims for services provided to our clients. CPC strongly preferred but not required. " This is an on-site position" Salary Range $25.50 - $35 Hour DOE HOURS 8:30-5:00 pm, M-F We offer a competitive benefits package: Medical Insurance Dental Insurance Vision Care Plan Life Insurance Paid Holidays (12) Paid Vacation Time Sick Time 401(k) Retirement Plan Competitive wages Stability and career advancement Continuing Education Opportunities CATEGORIES OF DUTIES Review clinical documentation and...

Job Description Job Description Job description POSITION OBJECTIVE/SUMMARY: The Medical Biller is responsible for front-end claims data analysis which includes research, analysis, reconciliation of claims data, and reporting MINIMUM QUALIFICATIONS REQUIRED FOR THIS POSITION: • Bachelor's degree in health information systems or business preferred • Certification as a Certified Professional Biller for medical practices, preferably with Federally Qualify Health Center experience • 3-5 years of experience in medical billing • At least 2 years healthcare computer database, data research and reconciliation experience in a healthcare environment preferred • Proficiency with computers and medical billing software • Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS • Communication skills with healthcare plans • Basic accounting and bookkeeping practices • Must be organized, meticulous and can manage confidential information • Good written and...

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: The primary purpose of this position is to provide coding and report design expertise in support of client and team objectives. This self-driven person will be responsible for delivering coding and report design expertise in support of client and team objectives. Work will include enhancements to existing code, support changes, and new development, as assigned. A person in this position will work with development team members to modify and design new reports based on database tables, provide thorough documentation of report requirements as it relates to business processes, track report change requests and deliver products in an agile environment. This individual will set goals by identifying requirements, use cases, and tests, estimating hours required for business analysis and task completion, and ensure clear communication regarding components to be delivered to the business. Communication with...

Must Haves: Must have an active coding certification and 0-3 years of coding experience: Full list of accepted certs AHIMA CCS (Certified Coding Specialist) AAPC (Verify at AAPC Credential Verification, CPC Certification Verification) CPC (Certified Professional Coder) CPC-A (Certified Professional Coder Apprentice) CRC (Certified Risk Adjustment Coder) CCA (Certified Coding Associate) HCC/Risk Adjustment Coding experience ICD-10 proficiency/certification Production driven coding experience Must be able to commit to working 40+ hours per week and seasonal overtime, no part time jobs allowed Access to a private home office and high speed internet if Onshore Ability to commute to the Manilla, Philippines office if Offshore Plusses: Experience working in a remote setting Experience working in a production driven environment CPT Coding experience National RAD-V/HEDIS abstraction experience Clinical Care or Managed Care experience...

To abstract information and assign ICD-9/10 CM codes from provider documentation and report data using specific software. This position will participate in internal & external record audits as directed and monitor systems and medical records to ensure they are current and provider documentation conforms to regulatory and procedural requirements. Coders work remotely but are required to conduct and attend local onsite trainings/audits/chart reviews at provider offices.   Position Responsibilities: ·         Abstract coding information from EMR or handwritten medical charts effectively and efficiently. Provide feedback to Risk Adjustment Manager for provider education. ·         Assist with required training in regards to regulations for coding medical documentation. ·         Ensure that the codes are supported following Medicare and ICD-10-CM guidelines. ·         Train and educate the Coding Department and Physicians as needed....

We are hiring an experienced Medical Biller to join the Medical Community Clinic of South LA. This clinic is focused on giving back to the underserved community ensuring they receive the best quality care. Looking for an excellent communicator who maintains professionalism in the highest regard. Job Title: Medical Biller Description: --Healthcare Support working in a fast paced clinic performing Medical Billing --Perform posting charges --Perform completion of claims to payers --Process claims --Entering billing charges, ICD-10 codes --Billing private insurance/secondary insurance using computerized billing programs --Conduct audits --Insurance verification --Familiar with medical terminology Skills: EMR, Health care, Medical, Insurance Verification, Triage, Patient Care, Documentation, Medical Billing, Claim, Insurance, Medicare, Medicaid, Data Entry, Medical Terminology, Customer Service, EMR Systems Additional Skills & Qualifications:...

Job Description Job Description Are you looking to make meaningful impact to the life's of individuals who are experiencing homelessness? Does empathy and the drive to do good resonate with you personally? Do you like to see other people smile? If so, then National Health Foundation has a position for you! We are seeking an outstanding, energetic and driven Part Time Medical Biller. This position is a direct result of the continued growth of National Health Foundation (NHF). This individual will be tasked to provide assistance in Account Receivables and Payables, processing reimbursements for the organization, collections, contacting our partners for payment, and account reconciliation. This is a great opportunity for anyone to come in and make this position their own. Pertinent Information This is 32 hours a week, Monday - Thursday. The pay for the position is $25/hour. This is an onsite position located in DTLA. Parking is covered for employees. What does success look...

Job Description Job Description Job Title: Medical Billing Specialist Job Type: Full-time, In-office Location: Encino, CA Job Description: We are seeking an experienced Medical Billing Specialist to join our team in our Encino office. The ideal candidate will have 2+ years of experience in Medical Billing. The candidate will be responsible for submitting claims to insurance companies and other third-party payers, as well as following up on claims and resolving any issues or denials in a timely manner. Responsibilities: Prepares, reviews, corrects, and edits professional HFCA 1500 or Facility UB04 claim forms for electronic claims submission in accordance with the billing department guidelines and insurance contract requirements Communicates errors and or missing information regarding patients' insurance, charges, coding etc Identify necessary corrections and resubmit all claims returned on electronic rejection reports daily Ensure that all...

Job Description Job Description JOB DESCRIPTION Position: Medical Biller/Collections Pay Range: $24-26 Reporting To: Reimbursement Manager Work Type: Hybrid POSITION SUMMARY The Medical Biller’s responsibilities include tasks that require data analysis and sound judgment to help our patients/clients throughout the billing process. In addition, the best candidate for this position will be experienced with billing software and medical insurance policies. The Medical Biller will work directly with the Reimbursement Manager to ensure that all daily and weekly responsibilities are completed within a timely manner. QUALIFICATIONS High school diploma or GED preferred. 3 years or more of prior medical billing experience. Effective communication skills. Ability to organize details logically and accurately. Ability to work independently and be result oriented. Effective interpersonal skills, including the ability to promote teamwork. Strong...

Job Description Job Description 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...

Job Description Job Description Mini Pharmacy is hiring multiple full-time Medical Billers for our billing department! Open to experienced techs and those recently receiving their license! Your hourly rate will reflect your level of experience and responsibilities at Mini Pharmacy. HIGHLIGHTS Mini Pharmacy has been a leader in diabetes management for over 40 years , both here locally in LA and throughout the entire United States! We provide diabetes supplies, diabetes medication, and even diabetes education, making us a true ally for patients and their families - providing a better quality of life! Flexible Health Benefits (Kaizer and Anthem plans) + many additional insurance offerings + 401k + Employee Assistance Program + competitive compensation Pharmacy Technicians at Mini Pharmacy are cross-trained in a variety of departments giving you exposure to various pathways for your career Our office is open Monday - Friday from 8 AM - 6 PM COMPANY Mini Pharmacy...

NVISION Eye Centers is the leading ophthalmology partner comprised of the nations leading providers of ophthalmic physician services. Based in Aliso Viejo, California, the Company operates over 50 locations (clinics and ASCs). We strive to delight our patients by providing unrivaled care and service that exceeds their expectations. We are The Eye Doctors #1 Choice. This position is responsible for ensuring accuracy in charge entry and payment posting for the purpose of driving timely clean claim submissions and accurate account reconciliation. The RCM Biller is highly attentive to detail, organized, process-driven, collaborative, and possesses strong time management skills. Hybrid in Los Angeles . + Timely entry and accurate review of charges entered into the practice management system prior to sending out facility claims + Prompt submission of claims to insurance carrier via electronic claim submission or paper claim form + Daily reconciliation of operative reports and...