62 cpb certified professional biller jobs found in Laguna Hills, CA

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...

Collections And Medical Billing Specialist 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 and...

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...

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

Job Description Job Description Established Medical Billing Company Seeking Experienced Professional We are a fast-paced, well-established medical billing company seeking an experienced Medical Biller / Data Entry Specialist to join our team. The ideal candidate already understands CPT and ICD-10 coding and is comfortable working independently in a high-volume production environment. We are looking for someone seeking long-term stability and growth within a professional billing team. Key Responsibilities Accurately enter CPT and ICD-10 procedure codes into billing software Manage high-volume data entry with precision and consistency Maintain compliance with medical coding guidelines and payer requirements Review and monitor coded entries for accuracy and completeness as part of routine workflow Collaborate with team members to identify discrepancies and improve overall billing accuracy Required Qualifications Minimum 2 years of recent medical billing and coding...

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....

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 forms for accuracy; flag missing or incorrect...

Job Description Job Description TTF is looking for a Prior Authorization/Verification Biller to work for a client in Costa Mesa, CA. The starting salary will depend on experience and our client offers a pleasant work environment.   Job duties include: Verify insurance information for upcoming procedures, obtain pre-authorization for procedures, explain to patients what their financial responsibilities will be, answer questions related to billing and submit insurance claims.  Experience working on ZirMed and Waystar knowledge is a plus.   Please send your resume to Chelle at CBodnar@TTFrecruit.com for consideration.   Qualified candidates should have previous experience in medical claim billing, insurance follow-up, and have knowledge of Medi-Cal guidelines. In addition, qualified candidates must have a stable work history and have the ability to pass a drug screen and background check.   TTF is a search and staffing company that partners with hospitals, physician groups,...

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...

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

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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 insurance claims through both private...

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...

Job Description Job Description Position Summary The Medical Biller is responsible for accurately processing claims, resolving billing discrepancies, and ensuring timely reimbursement for all imaging services. This role requires strong knowledge of radiology/imaging CPT codes, payer guidelines, and medical billing best practices, including handling personal injury cases and lien-based billing. Key Responsibilities Prepare, review, and submit claims for imaging services to insurance carriers (electronic & paper). Review documentation to ensure accurate coding and compliance with payer policies. Follow up on unpaid or denied claims. Work claim rejections and denials; submit corrected claims and appeals as necessary. Post payments, adjustments, and reconcile accounts. Communicate with patients regarding billing questions, balances, and payment plans. Manage personal injury accounts, including establishing, tracking, and updating liens. Communicate professionally with attorneys...

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...

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,...

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...

While maintaining patient confidentiality and information security, the Biller, Medical will review, track and submit for review, patient service records. This position will work closely with the Operations Coordinator to ensure billing accuracy. DUT Medical Biller, Biller, Medical, Data Entry, Treatment, Billing, Healthcare

Medical Biller Location:Downey, CA Job ID:4811 Salary:$22.87 - $24.08 Per Hour Area of Interest:Recovery 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 Biller, Medical will review, track and submit for review, patient service records. This position will work...

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 Description Our growing Neurology practice in Carlsbad is seeking an experienced Medical Billing Patient Account Representative to join our team. This position is ideal for a detail-oriented and motivated professional with a strong background in medical billing and accounts receivable management. Key Responsibilities: Enter patient demographics, insurance information, charges, and payments into EPIC Generate and submit insurance claims Manage accounts receivable aging and days outstanding for assigned accounts Actively participate in collections processes Research, resolve, and appeal claim denials, coordinate claim re-submissions Perform additional clerical and administrative duties as assigned Qualifications: Prior experience in medical billing , preferably in a specialty practice Proficiency with EPIC strongly preferred Highly focused, honest, motivated, and energetic Excellent attention to detail and time...

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....