52 cpb certified professional biller jobs found in Irvine, CA

Controller – MEDICAL BILLER – Healthcare Revenue Cycle | CPA Preferred In‑Office | Newport Beach, CA ProMedix Health is seeking an experienced controller with healthcare accounting and revenue‑cycle expertise to lead financial operations across our rapidly expanding multi‑state telehealth organization. This is a hands‑on, high‑visibility leadership role working directly with the CFO and CEO. Responsibilities Lead full‑cycle accounting, month‑end close, reconciliations, and financial reporting. Oversee Medicare, Medicare Advantage, commercial, and cash‑pay revenue recognition. Manage medical billing and revenue‑cycle financial oversight. Analyze claims, denials, A/R, collections, and reimbursement trends. Support audits, compliance readiness, and regulatory reporting. Build executive dashboards and KPIs. Partner with clinical ops, compliance, and engineering to resolve billing and documentation issues. Medical Billing & Revenue Cycle Management Oversee end‑to‑end...

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

Job Description Job Description Description: Job Title: Medical Biller II Salary: $25hr-$28hr DOE Location: Tustin, CA Openings: 1 Position Purpose: The Medical Billing Specialist II supports the revenue cycle team by independently performing a broad range of billing functions with moderate complexity. This role is responsible for accurate insurance verification, charge entry, claim submission, payment posting, and resolution of routine denials to ensure compliance with payer requirements and timely reimbursement. Core Duties and responsibilities, include but are not limited to: Insurance & Eligibility Verification Verify complex insurance coverage (Medi-Cal, Medicare, Managed Care, Commercial, PPO/HMO). Research and resolve discrepancies in patient coverage or eligibility. Document eligibility outcomes in the EHR/PM system. Charge Entry & Coding Support Perform charge entry and apply CPT, ICD-10, and HCPCS codes. Review encounter...

Company: Green Meadows Home Health Location: 2204 E 4th Street Santa Ana 92705 Pay Rate: $25/hour Schedule: Full-Time | Monday–Friday, 9:00 AM–5:30 PM Duration: March 16 – June 30 (with potential to become permanent) Job Description Green Meadows Home Health is seeking an experienced Home Health Medical Biller to provide temporary coverage while a team member is on maternity leave. This is a full-time position starting March 16 through June 30, with the possibility of transitioning into a permanent role based on performance and business needs. Key Responsibilities OASIS tracking and oversight until completion Running monthly billing and status reports Managing and resolving exporting issues Pre-billing review and processing Chart corrections and claim clean-up Managing undrafted claims Identifying and correcting diagnosis (DX) errors Communicating with nurses to obtain complete and accurate documentation Resolving Quest Diagnostics billing and diagnosis-related...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Company: Green Meadows Home Health Location: 2204 E 4th Street Santa Ana 92705 Pay Rate: $25/hour Schedule: Full-Time | MondayFriday, 9:00 AM5:30 PM Job Description: Green Meadows Home Health is seeking an experienced Home Health Medical Biller to provide coverage while a team member is on maternity leave. This is a full-time position, with the possibility of transitioning into a permanent role based on performance and business needs. Key Responsibilities (include but are not limited to): OASIS tracking and oversight until completion Running monthly billing and status reports Managing and resolving exporting issues Pre-billing review and processing Chart corrections and claim clean-up Managing undrafted claims Identifying and correcting diagnosis (DX) errors Communicating with nurses to obtain complete and accurate...

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 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...

Fantastic opportunity with our client in Orange County! Fast paced and growing Medical Billing industry company looking for their next Accounts Receivable Specialist for either a direct hire opportunity. This role is onsite in Aliso Viejo. Exact compensation may vary based on skills, experience and location. Expected starting base salary $43,680 to $49,920 per year. Job Description: Prepare medical policies and checks quarterly for updates Help analyze and research unpaid insurance claims and requests Review all aspects of claim Perform required oral and written communications to payers Help facilitate payer reimbursements Analyze and compose payer appeals on outstanding accounts receivable issues Experience: Associate preferred and a minimum of 1 years' relevant AR experience Direct Medical billing experience highly preferred. REF 47440 #LI- POST #ZR #Ind-LA-OC

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...

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 Description Job Description Benefits: Dental insurance Health insurance Vision insurance Job Summary We are seeking a Medical Biller/Collector to join our team. The ideal candidate will have a strong understanding of medical billing procedures and insurance guidelines from claim submission to payment collection, Medical Biller/Collector must have experience in handling insurance denials and appeals. Job is not remote. Responsibilities Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. Follow up unpaid claims and work toward resolution. Resolve billing discrepancies. Qualifications Must have 2+ years of experience in a hands on Medical Billing/Collection position. Strong organizational and communication skills. Be able to time manage and take direction. Strong computer skills, EMR Skills Experience with HMO, PPO, and state payors. Experience with claim appeals and aging accounts.

Benefits Dental insurance Health insurance Vision insurance Job Summary We are seeking a Medical Biller / Collector to join our team. The ideal candidate will have a strong understanding of medical billing procedures and insurance guidelines from claim submission to payment collection, Medical Biller / Collector must have experience in handling insurance denials and appeals. Job is not remote. Responsibilities Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. Follow up unpaid claims and work toward resolution. Resolve billing discrepancies. Qualifications Must have 2+ years of experience in a hands on Medical Billing / Collection position. Strong organizational and communication skills. Be able to time manage and take direction. Strong computer skills, EMR Skills Experience with HMO, PPO, and state payors. Experience with claim appeals and aging accounts. #J-18808-Ljbffr

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 phone. Computer...

Job Description Job Description Benefits: 401(k) Health insurance 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! Must be able to work in office closely with the doctors and patients ( please don't apply if you are looking for a remote job). 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...

Benefits: 401(k) Health insurance 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! This position requires working in-office closely with doctors and patients (please do not apply if you are seeking remote work). As a Medical Biller, you will collaborate with clients to answer billing questions, process insurance forms, and gather necessary documentation. You will also support other Medical Billers with follow-up inquiries, 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 on the phone most of the day. Responsibilities: Assist clients with processing insurance claims through private insurance and Medicaid/Medicare Note and process all necessary insurance forms Help patients navigate billing and...

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...

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 Title Medical Biller Company Billion dollar senior living organization Location & Schedule Montebello, hybrid – 4 days onsite Compensation $35.00/hr - $45.00/hr (actual pay based on skills and experience; discuss with recruiter) Employment Type Full‑time Seniority Level Associate Job Function Accounting/Auditing Industries Hospitals and Health Care, Nursing Homes and Residential Care Facilities, Medical Practices Qualifications Nursing home/senior living/healthcare experience required Benefits Medical insurance Vision insurance 401(k) #J-18808-Ljbffr

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...

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 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 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...