248 jobs found in Riverside, CA

Job Description Medical Biller California (must live in the state) This position is full-time and remote We are seeking a full-time Medical Biller who lives in California and works remotely processing medical billing claims for patients. This person must be a medical billing specialist managing medical billing for a medical office or multiple physicians. We specialize in engaging and caring for medically complex patients. We are looking for empathetic professionals that are enthusiastic and prepared to work in a fast paced environment from home. Hours are 8am - 5pm. Compensation and Benefits for Medical Biller Compensation: $21 - 24 per hour 3 weeks (2 weeks paid vacation + 6-7 paid federal holidays) paid time away and 401K Medical, Dental, and Vision benefits. Responsibilities for Medical Biller Requests prior authorizations for services. Appropriately and efficiently addresses rejected claims Maintains relationship with clearing house,...

HIM Outpatient Coder 2 Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do. HIM Outpatient Coder 2 is responsible for coding and abstracting outpatient medical records, including outpatient surgeries, GI procedures, and cardiac catheterizations. The Coder 2 is responsible for reviewing the clinical...

Hospital/Facility Revenue Cycle Manager Trajectory RCS joined the MedHQ family in the beginning of 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through teamwork and collaboration. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. MedHQ, LLC, is a 2022 Becker's Top 150 Places to Work in Healthcare company. The MedHQ LLC service line offerings have grown organically over the years, beginning by providing high quality traditional human resource, accounting, and staff...

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. 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 codes, compliance guidelines, and patient...

Remote Facility Inpatient Coder Under indirect supervision, is responsible for accurate coding of all inpatient and services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record at an Academic Trauma 1 Health System. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM/PCS, Centers for Medicare and Medicaid Services (CMS). Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS) as well as other specialty systems as required by diagnostic category and facility Reimbursement guidelines. Essential Functions And Responsibilities Must possess a thorough knowledge of ICD-10-CM/PCS coding principles and applications as they relate to acute care hospital coding and grouping Thorough knowledge of Official Coding Guidelines and payer specific requirements When services/diagnoses are not...

Job Description Operating Room (Full-time, Night Shift) - Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, integrity, excellence, teamwork, wholeness, humility, and justice. The Supervisor-Patient Care provides clinical management, including administrative, financial, and human resource management duties. Coordinates with the Manager/Director to manage and supervise day-to-day operations on designated unit(s). Collaborates with Director to ensure continuity of care is provided from shift-to-shift. Provides management presence after business hours. Serves as liaison among Manager, Director, team leaders, educators, and staff to implements new processes and changes in clinical practice; mentors and coaches staff. Evaluates assigned personnel for clinical competency and advancement on the clinical ladder. Performs other duties as needed. Qualifications Meet one of the educational requirements and complete...

Job Summary: Under supervision, is primarily responsible for assigning accurate diagnosis and procedure codes to the patients health information record for Inpatient and Newborn records. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patients health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records). This responsibility requires that the new coder be on-site for up to one calendar year and will require appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10CM, ICD-10PCS, and HCPCS/CPT.All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding...

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

An established industry player is seeking a detail-oriented Coder 2-HIM to join their dynamic team. This role involves performing ICD and CPT coding, ensuring compliance with coding guidelines, and maintaining the quality of medical data. The ideal candidate will have a strong background in health information management and coding, with a minimum of two years of experience, preferably in surgery coding. Join a mission-driven organization that values compassion and integrity, and contribute to the impactful work of healthcare data management. #J-18808-Ljbffr

Job Description Job Description Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Health insurance Opportunity for advancement Paid time off Training & development Vision insurance Performance Physical Therapy is looking for a Medical Biller Specialist to join our strong team Benefits: Medical, Dental, Vision. Retirement. Paid Holidays, Vacations Negotiable salary commensurate with experience Our ideal candidate is motivated and able to work independently and as a team with high level of productivity. Responsibilities: Oversight of insurance management (including verification, authorization) and billing for all payer types including Medicare, managed care, workers comp, commercial, government, etc. Billing duties include claim scrubbing, claim submission and proactively following up with payers in securing payment of accounts and resolving claim rejections through account closure Create, verify and maintain confidentiality of...

Job Description Job Description Performance Physical Therapy is looking for a Medical Biller Specialist to join our strong team Benefits: Medical, Dental, Vision. Retirement. Paid Holidays, Vacations Negotiable salary commensurate with experience Our ideal candidate is motivated and able to work independently and as a team with high level of productivity.  Responsibilities: • Oversight of insurance management (including verification, authorization) and billing for all payer types including Medicare, managed care, workers’ comp, commercial, government, etc.  • Billing duties include claim scrubbing, claim submission and proactively following up with payers in securing payment of accounts and resolving claim rejections through account closure • Create, verify and maintain confidentiality of client records • Schedule and check in clients. Manage patient flow through front desk. Duties also include patient collections • Respond to all complaints in a friendly and professional...

Job Description Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 - Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as it pertains to Risk Adjustment for the purpose of, documentation trends and opportunities for improvement related to documentation integrity....

A leading healthcare provider in California is seeking a Coder 1 for Risk Adjustment. This role involves reviewing clinical documentation for accuracy in support of Hierarchical Condition Category diagnoses and communicating with providers to ensure quality documentation. The ideal candidate requires a Bachelor's degree, certification as a Risk Adjustment Coder, and at least two years of clinical experience. Strong skills in medical terminology and effective communication are essential for success in this position. #J-18808-Ljbffr

Job Type Full-time Description TITLE: Medical Biller It is our goal to provide the finest Orthopaedic care possible. This philosophy requires that all office staff and providers be sensitive and responsive to patients' needs and preferences. To ensure that we hire and retain the quality of staff needed for implementing our philosophy of service, we have adopted the following job description for this position. The position requires that the employee be available forty hours per week, and that also the employee be flexible in his/her schedule to provide efficient service for the group. The employee however, will be expected to work no more than five days per week. Many of the responsibilities require that you have a working knowledge of computers and the ability to learn the proper use of the programs utilized in this office, or those that which may be necessary to meet the needs of the practice. The hours, pay scale, and benefits will be defined as agreed upon....

Job Description Job Description We are seeking an IT Coder II for an initial 3-month contract. This position is REMOTE, and comes with the likeliness of an extension or a direct offer. Pay: $36.86/hour Shift: 8:00am-4:30pm PST, Monday-Friday We offer the most important benefits to attract and retain the most qualified staff. These benefits are intended to provide the fullest possible protection. Our insurance plans come in multiple options, not limiting you a singular plan. • No waiting periods! • Dental • Vision Care • Life Insurance • Disability Insurance401(k) Plan • Annual scholarship program • Weekly Direct Deposit • W2 Electronic delivery • Airport parking discount • Corporate discounts Position Summary: - Checks medical records for completeness and to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems. - Compiles and keeps medical records of patients of health care delivery system...

A bit about us: We provide comprehensive and individualized cancer care through participation in clinical research, offering innovative treatments, and promoting early detection through screenings. As a partner of OneOncology, we enhance its ability to deliver high-value care by focusing on personalized treatment plans, engaging with the latest advancements, and delivering care with deliberation and compassion. Why join us? a comprehensive benefits package including medical, dental, vision, and retirement plans. Employees also receive competitive pay, paid time off for work-life balance, and can find fulfillment in a mission-driven role focused on community care Job Details Office Supervisor (Medical Assistant) Location: Van Nuys, CA Schedule: Monday-Friday, 8:00 AM-5:00 PM (no weekends) Type: Contract-to-Hire About the Role A prominent oncology network has a Riverside clinic that is seeking a polished, patient-first Non-Clinical Medical Assistant/Office...

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of...

Job Description Job Description Job Summary Medical Biller The Medical Biller reports to the Billing Manager in person at out 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 laboratory services...

Job Description Process and submit medical claims for IEHP, Medi-Cal, Medicare, and other insurance plans Verify patient eligibility and benefits for government and managed care programs Ensure accurate billing and compliance with coding guidelines Follow up on denied or unpaid claims and submit corrections or appeals as needed Post insurance and patient payments accurately Communicate with insurance representatives to resolve claim issues Maintain HIPAA compliance and patient confidentiality Assist patients with billing questions related to government insurance programs Job Requirements Bilingual (English/Spanish) required 1-2 years of experience in medical billing Experience working with IEHP, Medi-Cal, Medicare, and other insurance plans Knowledge of medical billing procedures and claim submission Ability to follow up on denied or unpaid claims Strong attention to detail and accuracy Ability to maintain patient confidentiality (HIPAA...

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...

Position Overview This role is responsible for the accurate and timely submission of medical claims to insurance providers across a variety of healthcare settings. The individual will ensure payments for medical services are received promptly and may act as a liaison between healthcare providers, patients, and insurance companies. Key Responsibilities Maintain a safe and clean work environment, adhering to safety and infection control standards. Review patient billing information for accuracy and completeness, obtaining missing details as needed. Identify appropriate insurance parties to bill, including secondary and tertiary insurers. Utilize electronic health record (EHR) systems to perform billing tasks and maintain compliant medical records. Process claims and apply payments or credits accordingly. Verify insurance payments for accuracy and contract compliance. Investigate and resolve denied or partially paid claims by collaborating with involved parties....

Benefits: 401(k) matching Bonus based on performance Competitive salary Employee discounts Health insurance Opportunity for advancement Paid time off 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 our patients to answer questions related to billing, collections, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients and staff. You will also assist members of our medical practice with follow-up inquiries from clients, communicate with our physicians to obtain necessary information to accurately process the billing and to provide suggestions on correct coding to charge procedures accordingly. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable addressing billing collections issues by...

Coder III Coder III is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. The CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. T...