22 cpb certified professional biller jobs found in Oceanside, CA

Job Locations US-CA-Oceanside Overview Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status. Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community's needs. Position Summary : The medical biller/collector is responsible for timely submission of claims to insurance companies from a wide variety of medical providers and facilities, as well as monitoring and ensuring payments for medical services are received in a timely manner. The person in this position may also function as an intermediary between...

Company Description Tri-City Medical Center is a full-service acute-care hospital located in Oceanside, California, serving the communities of Oceanside, Vista, Carlsbad, and San Marcos. Known for its Gold Seal of Approval, the hospital features two advanced clinical institutes and a team of physicians specializing in over 60 medical fields. As a leader in robotics and minimally invasive technologies, Tri-City Medical Center has been delivering high-quality healthcare services to the local community for over 50 years. The hospital's facilities include the main campus, outpatient services, and the Tri-City Wellness Center in Carlsbad. The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of...

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...

Turn At Turn our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values People, Culture and Growth are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment. Job Summary Data entry, reporting, and timely completion of billing and reimbursement functions. This position may also work with medical records consistent with health care ethical, legal, and regulatory requirements. Responsibilities Reasonable accommodation may be made for individuals with disabilities to perform essential job functions. Communicate level of staff accurate and timely documentation, and if meeting minimum billable requirements for direct client services. Capture and enter billing, corrections, reconciliations to ensure accuracy. Complete admissions and discharges in EHR. Compile and maintain patients' medical records to document condition and treatment...

At TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values People , Culture and Growth are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment. JOB SUMMARY Data entry, reporting, and timely completion of billing and reimbursement functions. This position may also work with medical records consistent with health care ethical, legal, and regulatory requirements. RESPONSIBILITIES Reasonable accommodation may be made for individuals with disabilities to perform essential job functions. Communicate level of staff accurate and timely documentation, and if meeting minimum billable requirements for direct client services. Capture and enter billing, corrections, reconciliations to ensure accuracy. Complete admissions and discharges in EHR. Compile and maintain patients' medical records to document condition and...

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 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...

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...

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...

Summary The Medical Biller for Cal AIM Services is responsible for accurately billing and processing claims for Enhanced Care Management (ECM), Recuperative Care, Community Supports (CS), detox billing, and other Cal AIM-related services. This role ensures timely claim submission, compliance with DHCS and Managed Care Plan (MCP) requirements, and effective coordination with clinical, administrative, and data teams to support revenue integrity. Essential Functions Prepare, submit, and track claims for ECM, Recuperative Care, Community Supports, detox billing, and other Cal AIM service lines. Verify eligibility and authorization requirements for all Cal AIM beneficiaries. Ensure documentation meets Cal AIM billing standards, including encounter data, activity logs, and service notes. Reconcile encounters and claims to identify discrepancies or missing documentation. Process claims corrections, resubmissions, and voids as needed. Collaborate with ECM/CS/RCP...

Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor use and misuse of prescription medications and illicit drugs. The testing is used by healthcare professionals to obtain objective information about patients' recent use of prescription medications and/or illicit drugs and helps monitor the effectiveness of treatment plans. Under general supervision monitors and initiates claim appeals on all insurance claims and pending receivables after final bill. This position will be expected to maintain a comprehensive understanding of general coding and billing compliance, the adjudication process and contractual obligations specific to various payers. The following are intended to be examples of the accountabilities for which the person in this position is responsible. This position is not intended to be complete or all-inclusive and does not preclude management...

Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are currently seeking a detail-oriented and dedicated Medical Biller to join our team. In this role, you will be responsible for managing the billing and collection of outstanding account balances for Medi-Cal and managed care payors. You will analyze and interpret complex payor contract language to calculate expected reimbursements accurately and ensure timely collection of all payments owed to the organization. Responsibilities Process medical billing and follow up on claims with Medi-Cal and managed care payors Audit and evaluate clinical documentation and billing records to ensure they are accurate, timely, clinically appropriate, justify medical necessity for Medi-Cal reimbursement, and comply with all State and County documentation and billing requirements....

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....

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 Description Position Overview Ultimate Staffing is actively seeking a detail-oriented, full-time Medical Biller for a temporary assignment with a well-established healthcare organization in Alpine, California. This role is ideal for someone who is meticulous, organized, and experienced in medical billing practices. This role is 100% onsite. Salary Range: $21.00 - $29.19 per hour Responsibilities Accurately process and manage billing records and ensure timely submission of claims. Collaborate with healthcare providers to ensure accurate billing information and resolve any discrepancies. Maintain patient confidentiality and adhere to all privacy regulations. Communicate effectively with insurance companies to resolve billing issues and discrepancies. Monitor accounts receivable and follow up on unpaid claims. Ensure compliance with industry regulations and standards in all billing practices. Qualifications Previous experience in medical...

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,...

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 forms...

Seaside Audiology in Huntington Beach, CA is seeking a part-time Medical Biller for their busy practice. This is a thriving private practice which focuses on cutting-edge treatment and excellent patient care. What you will do: Medical Billing A/R Revenue Cycle Management Patient account/statements, balancing accounts. Resolve unpaid claims Posting paper EOB's to patient accounts Other administrative duties as needed related to billing. What you will need: AAPC-Certified Medical Biller Proficient with Tebra pm software for billing /claims/trizetto clearinghouse or other similar EMR/Billing software. Experience Preferred: Experience in Medical claims for Hearing/ENT/Otology. 10+ years' experience in medical billing. This position will be 10-20 hours a week, flexibility during the hours of the practice. Department Administrative Professionals Role Back Office Professional Locations Seaside Audiology - Huntington Beach, CA Hourly salary $28 -...

About AmeriPharma AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change 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 an Insurance Coordinator at AmeriPharma, you will be responsible for accurate and timely verifications of patients' medical insurance coverage and securing medical prior authorization to...

About AmeriPharma AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves. AmeriPharma 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 an Insurance Coordinator at AmeriPharma, you will be responsible for accurate and timely verifications of patients medical insurance coverage and securing medical prior authorization to...

Job Description Responsibilities • Reports to: Manager, Coding • The radiation oncology coder will be responsible to abstract orders, charges and related diagnoses from radiation oncology records to ensure services billed are consistent with the record documentation • The coder will ensure compliance with all the clinical billing and coding regulations and will work with the faculty and staff to ensure accurate documentation of billable services • The coder will determine and input appropriate ICD-10 CM and other codes for all radiation therapy procedures and analyze and validate that all charges are interfaced with the appropriate ICD10 and CPT codes • The coder will be become efficient with the record and verify system ARIA where they will review the department daily charges for accuracy prior to interface from ARIA to EPIC • Is always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or greets every individual using the...