54 cpb certified professional biller jobs found in Irvine, CA

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a detail-oriented and experienced Pharmacy Benefit Management (PBM) Billing Specialist to join their team. The specialist will be responsible for ensuring the accurate and timely processing of pharmacy benefit claims, verifying eligibility, managing prior authorizations, and addressing billing discrepancies. This role involves working closely with both payers and patients to ensure correct claim adjudication, resolve issues, and maintain a high level of customer service. The specialist will play a key role in ensuring compliance with all billing regulations while meeting company standards for accuracy and efficiency. Responsibilities / Job Duties Determine proper financial/coverage risk. Process claims via electronic billing adjudication systems. Work through payable claim responses. Resolve claim...

About the job Medical Biller About Us: We are a high-complexity clinical laboratory dedicated to delivering fast, reliable diagnostic testing services. Our growing team is seeking a Medical Biller who is accurate, detail-oriented, and experienced in laboratory billing. If you thrive in a fast-paced environment and enjoy making a meaningful impact behind the scenes, wed love to hear from you. Key Responsibilities: Claims Processing: Prepare, review, and submit insurance claims with a focus on accuracy and compliance. Insurance Knowledge: Work confidently with commercial insurance, Medicare, Medicaid, PPO, HMO, and EPO plans. Patient Billing: Manage and generate patient statements; address billing inquiries with professionalism. Payment Posting: Post insurance and patient payments, apply adjustments, and reconcile accounts. Medical Records & Documentation: Access and review medical records to ensure proper coding and billing compliance....

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a detail-oriented and experienced Pharmacy Benefit Management (PBM) Billing Specialist to join their team. The specialist will be responsible for ensuring the accurate and timely processing of pharmacy benefit claims, verifying eligibility, managing prior authorizations, and addressing billing discrepancies. This role involves working closely with both payers and patients to ensure correct claim adjudication, resolve issues, and maintain a high level of customer service. The specialist will play a key role in ensuring compliance with all billing regulations while meeting company standards for accuracy and efficiency. Responsibilities / Job Duties Determine proper financial/coverage risk. Process claims via electronic billing adjudication systems. Work through payable claim responses. Resolve claim rejections. Manage...

Details Client Name Hoag Memorial - Red Hill Clinic Job Type Local Offering Non-Clinical Profession Medical Biller Specialty Hospital Job ID 16388523 Job Title Medical Biller - Hospital Weekly Pay $1220.0 Shift Details Shift 5x8 Days Scheduled Hours 40 Job Order Details Start Date 04/30/2025 End Date 10/25/2025 Duration 25 Week(s) Client Details Address 2995 Red Hill Ave #100, Costa Mesa, CA 92626, United States City Costa Mesa State CA Zip Code 92626 Job Board Disclaimer Pride Global and its entities offer eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life and disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

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 necessary forms and signatures Work with doctor’s offices and hospitals to obtain charge information and...

About AmeriPharma AmeriPharma is a rapidly growing healthcare company that offers you the opportunity to contribute to our collective success every day. We value innovation, creativity, and productivity, and we seek individuals who are passionate about their roles and eager to grow as the company evolves. AmeriPharma's Benefits Full benefits package including medical, dental, vision, life that fits your lifestyle and goals Great pay and general compensation structures Employee assistance program to assist with mental health, legal questions, financial counseling etc. Comprehensive PTO and sick leave options 401k program Plenty of opportunities for growth and advancement Company sponsored outings and team-building events Casual Fridays Job Summary As a Medical Biller II at AmeriPharma, you will be responsible for ensuring that all medical claims are billed accurately and promptly for services rendered to patients. The ideal candidate will be detail-oriented, proactive, and...

Hiring: Medical Biller Skilled Nursing Facility (SNF) ???????? ???? Location: Huntington Beach, CA ???? Schedule: Full-time | Maximum 1-hour commute Are you a detail-oriented Medical Biller with experience in Skilled Nursing Facility (SNF) billing ? Do you thrive in a fast-paced healthcare environment, ensuring claims are processed accurately and promptly? If so, we want YOU on our team! What You'll Do ???? ?? Submit & Process Claims: Handle billing for Cal Optima, Medi-Cal, Medicare, and HMO insurance plans ?? Ensure Timely Reimbursements: Follow up on claims, resolve billing discrepancies & appeals ?? Verify Insurance Eligibility: Confirm patient benefits for accurate billing ?? Maintain Compliance: Stay updated with industry regulations & payer guidelines ?? Collaborate with Staff & Providers: Work with facility teams to ensure smooth billing operations What You Bring ???? ???? SNF Billing Expertise:...

Job Description Job Description Hiring: Medical Biller – Skilled Nursing Facility (SNF)   Location: Huntington Beach, CA Schedule: Full-time | Maximum 1-hour commute   Are you a detail-oriented Medical Biller with experience in Skilled Nursing Facility (SNF) billing? Do you thrive in a fast-paced healthcare environment, ensuring claims are processed accurately and promptly? If so, we want YOU on our team!   What You'll Do ✔️ Submit & Process Claims: Handle billing for Cal Optima, Medi-Cal, Medicare, and HMO insurance plans ✔️ Ensure Timely Reimbursements: Follow up on claims, resolve billing discrepancies & appeals ✔️ Verify Insurance Eligibility: Confirm patient benefits for accurate billing ✔️ Maintain Compliance: Stay updated with industry regulations & payer guidelines ✔️ Collaborate with Staff & Providers: Work with facility teams to ensure smooth billing operations   What You Bring SNF Billing Expertise: Minimum 6 months - 1 year of...

Hiring: Medical Biller – Skilled Nursing Facility (SNF) 🏥💰 📍 Location: Huntington Beach, CA 🕒 Schedule: Full-time | Maximum 1-hour commute Are you a detail-oriented Medical Biller with experience in Skilled Nursing Facility (SNF) billing ? Do you thrive in a fast-paced healthcare environment, ensuring claims are processed accurately and promptly? If so, we want YOU on our team! What You'll Do 🚀 ✔️ Submit & Process Claims: Handle billing for Cal Optima, Medi-Cal, Medicare, and HMO insurance plans ✔️ Ensure Timely Reimbursements: Follow up on claims, resolve billing discrepancies & appeals ✔️ Verify Insurance Eligibility: Confirm patient benefits for accurate billing ✔️ Maintain Compliance: Stay updated with industry regulations & payer guidelines ✔️ Collaborate with Staff & Providers: Work with facility teams to ensure smooth billing operations What You Bring 🏆 💡 SNF Billing Expertise: Minimum 6 months - 1 year...

About the Company 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 without SNF experience will not be considered). Proficiency in billing Cal Optima, Medi-Cal, Medicare, and HMOs. Strong knowledge of SNF-specific billing codes and reimbursement processes. Experience...

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...

For more details, please connect with Ibad Khan at 971-431-1753 or email at ibadk@vgroupinc.com Client: Healthcare Job Title: Medical Biller/ Coder/ Authorization Assistant Duration: 06 Months Start Date: ASAP Location: 505 City Parkway West, Orange CA 92868 (Onsite) Position Type: Contract Description: The Medical Authorization Assistant (Multipurpose Senior Services Program) will provide office and case management support services. The incumbent will serve as a contact between members, physicians, providers and CalOptima Health’s staff to gather information and serve as an interpreter as needed. Under the manager’s direction, the incumbent will be responsible for providing effective, efficient and courteous interaction with providers, members and families and other CalOptima Health staff. The incumbent will perform medical administrative and routine tasks specific to the assigned program and may also perform administrative support functions....

Job Description Summary Responsible for managing patient billing and insurance claims. How will you make an impact & Requirements Medical Biller Responsible for reviewing account files to ensure accuracy and completeness, maximum reimbursement, and appeal denials. Primary duties may include, but are not limited to: Reviews patient account files. Prepares and reviews billings to be submitted to Fee for Service primary/secondary insurance carriers and/or Medicare/MediCal/Medicaid. Collects and decreases assigned Accounts Receivable focusing on high value accounts. Manages and maintains third party accounts. Responds to patient, insurance carrier and internal and external telephone inquiries. Completes all denial and correspondence daily. Prepares and submits refund requests to insurance carriers. Re-bills claims when not paid properly. Process refund requests. Requirements: Requires a H.S. diploma or equivalent Minimum of 2 years of experience in billing and appeals...

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...

For more details, please connect with Ibad Khan at 971-431-1753 or email at ibadk@vgroupinc.com Client: Healthcare Job Title: Medical Biller/ Coder/ Authorization Assistant Duration: 06 Months Start Date: ASAP Location: 505 City Parkway West, Orange CA 92868 (Onsite) Position Type: Contract Description: The Medical Authorization Assistant (Multipurpose Senior Services Program) will provide office and case management support services. The incumbent will serve as a contact between members, physicians, providers and CalOptima Health’s staff to gather information and serve as an interpreter as needed. Under the manager’s direction, the incumbent will be responsible for providing effective, efficient and courteous interaction with providers, members and families and other CalOptima Health staff. The incumbent will perform medical administrative and routine tasks specific to the assigned program and may also perform administrative support functions....

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

Job Description Job Description About Us Automatic Claims Processing, Inc. (ACP) is a small, dynamic medical billing company based in Chino, CA. Since 2005, we've helped providers streamline operations and improve patient experiences. We offer a flexible, supportive work environment focused on collaboration, innovation, and professional growth. Perks: Flexible hours & hybrid/remote work options Relaxed, team-oriented atmosphere Career development opportunities Job Summary We’re seeking an experienced Medical Biller to manage insurance claims, payment posting, and follow-ups. This role requires strong attention to detail, clear communication, and the ability to work independently. Key Responsibilities: Submit and follow up on insurance claims Post payments and reconcile patient accounts Communicate with providers and insurance companies Assist with patient billing and respond to inquiries Maintain accurate records and ensure compliance...

KORE1, a nationwide provider of staffing and recruiting solutions, has an immediate opening for a Medical Biller/Collector III that is Hybrid and based out of Baldwin Park, Ca. *This position will likely be in office 1x/week. In this role, you will tackle complex billing and collections functions, ensuring accurate and timely submission of claims and effective follow-up to maximize reimbursement. Your expertise will directly contribute to the financial well-being of our mission-driven institution, which is dedicated to compassionate patient care and groundbreaking healthcare research. Key Responsibilities: Billing & Claims Management: * Prepare, review, and submit professional and institutional claims to government and commercial payers. * Review EOBs/ERAs to ensure payments are accurate and processed according to contract terms. * Correct and resubmit denied or rejected claims; manage appeals and reconsideration requests. * Monitor timely filing limits and ensure all...

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 update patient information in the patient...

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 Details Our client, a well-established Cardiology Clinic with locations in Torrance and Koreatown, is seeking a detail-oriented and results-driven Medical Biller who can also assist with front office responsibilities. Full Time Permanent Position Monday - Friday, 8:00AM - 5:00PM On-Site at Torrance and Koreatown offices Competitive Pay Rate Quick and Streamlined Hiring Process Responsibilities Prepare and submit insurance claims promptly Follow up on outstanding claims and resubmit denied claims as needed Monitor insurance responses and ensure timely and accurate payment processing Manage and work through Accounts Receivable (A/R) aging reports Post insurance and patient payments into the EMR system Identify and implement solutions to resolve claim issues Answer phones and assist the clinic with front office duties Requirements Associate's or Bachelor's degree required Minimum 2 years of recent medical billing experience in an outpatient clinic, preferably...

Description Medical Collections . Must have experience with ICD 10, IDC 9, CPT Codes. Must have at least two years experience working within a hospital setting. Must have experience working with Hospital billing/Collections UB04 experience Skills medical billing, icd-10, cpt coding, accounts receivable, icd9, medical insurance Top Skills Details medical billing,icd-10,cpt coding,accounts receivable,icd9,medical insurance Additional Skills & Qualifications Must have medical billing experience - Two years. Microsoft office, Can be medical billing experience Experience Level Intermediate Level Pay and Benefits The pay range for this position is $23.00 - $24.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: •Medical,...