28 cpb certified professional biller jobs found in Riverside, CA

Job Description Job Description job Overview We’re looking for a skilled and detail-driven Medical Biller to join our healthcare team. This position plays a key role in ensuring accurate billing, proper reimbursement, and compliance with all medical coding and regulatory guidelines. The ideal candidate will be proficient in billing processes, coding standards, and collections, and will work closely with providers, patients, and insurance companies to keep billing operations running smoothly. Responsibilities Review patient accounts to confirm billing accuracy Apply DRG, CPT, ICD-9, and ICD-10 codes appropriately for all billed services Prepare and submit insurance claims; follow up on unpaid or denied claims Handle medical collections, including outreach to patients regarding outstanding balances Maintain precise and up-to-date records within EMR/EHR systems Work with office staff to resolve billing issues or discrepancies Stay current on medical...

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 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 laboratory...

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...

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.

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...

Medical Billing Administrator This role will oversee and complete administrative responsibilities related to medical billing. Key tasks include: preparing and submitting billing data and medical claims to insurance companies in compliance with federal, state, and payer guidelines; preparing bills and invoices; investigating and resolving billing denials and rejections; completing payor-specific rules and regulations training; and ensuring accuracy and compliance throughout the billing process. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age,...

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...

Accountemps - JobID: 00291-9504252776-usen [ Accountemps' industry expertise will help you find positions well-matched to your unique skill set and requirements. Above all, we want to help you find a job that makes you happy and allows you to thrive while ensuring you top pay, great benefits and free ongoing training courses...Land This Job Today >>

Medical Billing Specialist Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices. At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun! Medical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner. Responsibilities include: Working directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid. Verifying correct insurance filing information on behalf of the client and patient. Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems. Prepare, review,...

Job Description Job Description We at Krista Care believe in a client first approach. You must be compassionate to work with Krista Care. We are more than just a team as we treat each other as family. If you are looking for a company that will treat you like family, then Krista Care is for you. We are seeking a detail-oriented and organized Medical Biller to join Krista Care team. The ideal candidate will be responsible for managing the billing process for medical services, ensuring accuracy in coding and compliance with regulations. This role is crucial in maintaining the financial health of our medical practice while providing exceptional service to our patients. Duties Process and submit medical billing claims to insurance companies and government programs. Utilize coding systems such as ICD-10 and ICD-9 to ensure accurate representation of diagnoses and procedures. Review and verify patient medical records to confirm the accuracy of billing information. Manage...

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...

Patient Support Medical Claims Processing Representative Contract Remote Role Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and...

Job Description Job Description Full time medical biller needed for an Internal Medicine office.  Previous experience a must, preferably in Internal Medicine or another primary care field.  Experience with the AVANTA electronic medical billing system is a plus.  Strong references required!

Job Description Job Description 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...

Job Description Job Description Description: Functions and responsibilities of the role: Answer telephones with pleasant greeting Computerize tasks such as exam forms and patient charts Obtain insurance authorizations and verify eligibility Filing Appointment scheduling and confirming Prepare insurance billing Email recall notices/cards Replenish office supplies Report areas to improve and innovations Report insurance updates Maintain inventory control Provide coverage and perform duties at Reception desk, when needed Requirements: Level of education needs to be specified High school graduate required College or vocational courses preferred Previous experience, certifications and technical skills should be outlined Microsoft Office

Job Description Job Description Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in billing/collections in a skilled nursing environment. This position will help to support 3 nursing facilities in a centralized billing environment. The Medicare Biller / Collector will be responsible for the coordination of collecting money from Medicare and the Medicare part A and part B coinsurance. They will support the function of Medicare and Medicare coinsurance collections to give it more focus and establish efficient methods of collecting. What You Will Do: Responsible to bill Medicare, Managed Care, Medical, Co-Insurance, and various share of costs. Setup new admissions medical records system to bill accurately Review billing documentation to ensure completeness, including accuracy of Medicare claims Manage submission of claims to Medicare and Medicare coinsurance to...

Job Description Job Description Benefits: Competitive salary Employee discounts Opportunity for advancement Training & development Job Title: Medical Billing Specialist Location: 3030 Sawtelle Blvd, Los Angeles, CA 90066 (On-site Only) Company Overview: Health Atlast is a fully integrated, multi-disciplinary healthcare practice located in West Los Angeles. Our team comprises professionals from various medical disciplines, including medical doctors, chiropractors, acupuncturists, physiotherapists, and massage therapists. We are committed to providing comprehensive, coordinated care to optimize patient health and well-being. Learn more at healthatlastusa.com. Position Overview: We are seeking an experienced Medical Biller with 5-10 years of experience to join our team. The ideal candidate will have a strong background in medical billing, particularly in Physical Medicine and Rehabilitation (PM&R), Physical Therapy, Chiropractic, Acupuncture, General...

Job Description Job Description MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to those in our community. Our vision is "Improving the Health and Well Being of our Community." Our Core Values consist of Integrity, Compassion, and Excellence. Employees must possess a strong commitment to the mission, policies, goals and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II is responsible for the billing and collection of the overall clinic’s primary care, pediatric, behavioral health and dental services. This position works closely with providers, front office, and Quality Improvement Department. ESSENTIAL DUTIES & RESPONSIBILITIES To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability...

Ajilon - JobID: D1B1976D-C652-46B2-870A-4B6F7F71F963 [Billing Clerk / Invoice Creator] As a Medical Biller at Ajilon, you'll: Be responsible for the timely and accurate posting of electronic and manual cash receipts, adjustments and denials to patient accounts; Assist in the resolution of outstanding credit balances and over payment packages; Generate and analyze diverse reports and work lists in the identification and resolution of routine patient account issues...Hiring Immediately >>

Medical Biller and Coder (Home Health) – Ensuring Accurate Reimbursements & Financial Integrity Company: All Seniors Foundation Location: Los Angeles, CA About Us: All Seniors Foundation offers quality in-home healthcare services to aging adults. Behind the scenes, our administrative team ensures that financial operations run smoothly, allowing us to focus on delivering excellent patient care. Role Overview: As a Medical Biller and Coder (Home Health) , you will accurately assign codes to home health services, submit insurance claims, and ensure prompt reimbursement. Your expertise in billing and coding processes supports our organization’s ability to continue providing essential care. Key Responsibilities: Review patient records and assign appropriate ICD and CPT codes. Prepare and submit insurance claims for home health services. Verify patient insurance coverage, handle claim denials, and resubmit appeals. Maintain up-to-date knowledge of payer guidelines and billing...

Job Description Job Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. * Requires travel to provider sites in San Gabriel Valley Area *May be open to considering Level I Specialists based on experience and skills Our Values:  Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company Review medical record information on both a retroactive and prospective basis...