28 medical billing specialist jobs found in Los Angeles, CA

Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global Service Center, and Provider...

Job Description Job Description Job Title: Medical Billing Specialist Job Type: Full-time, In-office Location: Encino, CA Job Description: We are seeking an experienced Medical Billing Specialist to join our team in our Encino office. The ideal candidate will have 2+ years of experience in Medical Billing. The candidate will be responsible for submitting claims to insurance companies and other third-party payers, as well as following up on claims and resolving any issues or denials in a timely manner. Responsibilities: Prepares, reviews, corrects, and edits professional HFCA 1500 or Facility UB04 claim forms for electronic claims submission in accordance with the billing department guidelines and insurance contract requirements Communicates errors and or missing information regarding patients' insurance, charges, coding etc Identify necessary corrections and resubmit all claims returned on electronic rejection reports daily Ensure that all...

Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global...

Job Description Job Description Join Our Team as a Medical Billing Specialist at Total Education Solutions! Are you passionate about making a positive impact on the lives of children? Total Education Solutions, a leading pediatric therapy service provider, is seeking a dedicated and detail-oriented Medical Billing Specialist to join our team. Enjoy a collaborative work environment and grow professionally while benefiting from our comprehensive medical benefits, up to 13 paid holidays, and professional development reimbursement. If you are a motivated individual with a passion for contributing to the well-being of children, we invite you to apply! Our Medical Billers help manage and keep track of all claims and follow-up regarding payment. At TES, you will be a part of the solution, helping us achieve goals which allow all students to learn and thrive.  SALARY RANGE: $18 - $24.64/hr (range is contingent upon relatable experience, credentialing/certification, education,...

Job Description Job Description The Medical Billing Specialist is responsible for planning, organizing, and coordinating daily operations to ensure quality patient financial services and streamlined access to service for all patients. Responsibilities include providing administrative, and clerical services, coding, billing, collection of payments, and input into process improvement. Qualifications and Requirements Insurance verification for new and current patients, review of incoming authorizations, and accurate input into electronic medical records system (“EMR”). Responsible for determining patient financial responsibility as determined by the insurance company. Research and verify patient demographic information through online verification systems. Verify insurance eligibility; get authorization and ability to identify different kinds of insurance coverage and limitation. Excellent verbal and written communication skills to communicate with diverse...

Description Behavior Frontiers, LLC is a leading agency providing applied behavior analysis (ABA) treatment to help children with autism and other special needs to reach their full potential. Our expert team of Board-Certified Behavior Analysts (BCBAs) and highly trained behavior instructors use state-of-the-art ABA methods to teach children social, communication, play, cognitive, and self-care skills, while reducing problem behaviors. We are seeking energetic and career-minded individuals to join our team. We are currently looking to hire a full-time Medical Billing Specialist to support the billing team. Availability: Full Time Location: El Segundo, CA Hourly Rate: $20.00 - $23.00 DOE Medical Billing Specialist: Applicants must be reliable, punctual, and able to learn quickly in a fast-paced office environment. Desired applicant should be able to handle multiple projects and complete tasks in a timely manner all while interacting with clients, employees and office...

Additional Comp Info Salary based on experience. Overview Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Medical Billing Specialist in Anahiem, CA. Medical Billing Specialist at PPOSBC is responsible for ensuring the timely submission of medical claims to insurance companies, including physician offices, payers, medical groups or other healthcare facilities and certifies clean claim, charge posting and billing to obtain accurate reimbursement for healthcare claims. Medical Billing Specialist must possess solid knowledge of the billing process from start to finish including in depth knowledge of billing best practices. Must serve as a subject matter expert and liaison between Management, Billing team and other stakeholders. Must have knowledge in Family planning and Primary care billing, as well as possess the ability to identify billing errors that may result in corrections and when necessary, communicate the directives to necessary...

Select how often (in days) to receive an alert: Create Alert MEDICAL BILLING SPECIALIST - REVENUE CYCLE EPIC Department:  Business Services Status:  Full Time Shift:  1st Remote or Onsite:  Onsite Location:  Costa Mesa, CA, US, 92626 Salary Range:  $19.0800 - $29.3200 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education. The Medical Billing Specialist is responsible for responding to inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date. Ensures accuracy, reports issues and works to resolve. Ensures compliance and regulatory guidelines and health plan requirements are met. Documents actions taken following HIPAA guidelines. May assist in providing customer service, member services, and others in working with providers/billing offices when needed. Performs other duties as assigned. May also maintains databases, audit information and works...

Job Description Job Description Description: The Medical Billing Specialist II codes patient records, ensures accuracy and compliance for healthcare professional Workers' Comp claims. Maintain databases and audit patient charts and billing information for accurate processing of claims. Analyze, identify, and resolve billing issues that cause payment delays. Research and resolve patient, provider, and insurance company inquiries in a timely manner. Essential Duties and Responsibilities • Reviewing charts and identifying procedures: abstracting and coding patients' charts, utilizing ICDlO, CPT and HCPCS codes classifications with accordance to California Official Medical Fee Schedule. • Maintains communication with supervisor regarding significant issues or patterns observed regarding denials from insurance companies. • Communicate with Physicians to ensure documentation is substantiating services perform and it is accompanying with proper dictation. • Comply with...

Job Description Job Description Description: The Medical Billing Specialist I codes patient records, ensures accuracy and compliance for healthcare professional Workers' Comp claims. Maintain databases and audit patient charts and billing information for accurate processing of claims. Analyze, identify, and resolve billing issues that cause payment delays. Research and resolve patient, provider, and insurance company inquiries in a timely manner. Essential Duties and Responsibilities • Review documentation and identify billable procedures: abstract and code, utilizing ICD-10, CPT, Modifiers and HCPCS code classifications with accordance to California Official Medical Fee Schedule. • Communicate with Physicians and/or Clinic Managers to ensure documentation substantiates services performed. • Thoroughly review Physician's documentation and perform audits to determine accuracy and identify gaps. • Collaborate with other departments to obtain and analyze additional...

Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global...

Mon-Fri 8a-5p - Quick Interview Process! - No Weekends/Nights/Holidays This Jobot Job is hosted by: Isaac Levet Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $23 - $28 per hour A bit about us: Join a top surgical group to help grow your clinical career! Please reach out to me directly to discuss details: Ph: 949.688.6045 (Call/Text) E: isaac.levet@jobot.com Why join us? Medical / Dental / Vision Insurance 401k with Match Paid Time Off Life / Disability Insurance FSA + more! Job Details We are seeking a highly motivated and experienced Medical Billing Specialist to join our growing team. This is a permanent position with a competitive salary package and benefits. The ideal candidate will have at least 1 year of experience in medical billing. Responsibilities: Review and process medical claims for accuracy and completeness in compliance with insurance regulations and guidelines Verify patient insurance coverage and...

Job Description Our Medical Billing Specialists start the process and simply put, submit claims for payment. This will include commercial, private and government insurances along with acute and chronic therapies to include IVIg, TPNs and antibiotics. Essential Duties & Responsibilities: Ensures accuracy and appropriateness of claim type, diagnosis codes, place of service, procedure codes, HCPC or NDC units for drugs, per diem, proper use of modifiers, and dates of service Certifies the accuracy and completeness of payer requirements prior to timely submission of clean claims Manages Billing Que status code to track unbilled delivery ticket(s) and maintains Reimbursement Pending Item Report Qualifications What you bring: High school diploma or equivalent Knowledge and understanding of HCPC, ICD-10 and CPT codes 2+ years of medical billing experience Additional Information What we offer: Competitive compensation Benefits start on your 1st day of employment 401k w 4% match no...

Job Description Job Description Essential Duties and Responsibilities The essential functions include, but are not limited to the following: Preparing and submitting clean claims to various insurance companies either electronically or by paper Answering questions from patients, clerical staff, and insurance companies Identifying and resolving patient billing complaints Preparing, reviewing, and sending patient statements Evaluating patient’s financial status and establishing budget payment plans; following and reporting status of delinquent accounts Reviewing accounts for possible assignment and making recommendations to the Billing Supervisor; preparing information for the collection agency. Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third party payers Processing payments from insurance companies and preparing a daily deposit Maintaining strictest confidentiality; adhering to all HIPAA guidelines...

We invite you to join our Compliance and Regulatory Affairs team as a Compliance Auditor Specialist.  This full-time career opportunity will have a Monday - Friday schedule, and is located at our office in Los Angeles, CA. ESSENTIAL DUTIES AND RESPONSIBILITIES: Under general supervision, coordinates the collection, evaluation, and dissemination of quarterly compliance performance data, relative to specified compliance program policies. Maintains confidential compliance documents and records specified data according to Compliance/ Regulatory / and State and Federal health care standards. Collect and analyze data entry on relevant compliance audit performance indicators. Perform and coordinate compliance medical record, coding, and claims review audits of varying complexity and scope as appropriate to regulation and policy protocol. Provide input on root cause for issues impacting compliance. Ensure sound audit theory and compliance within the department's methodology. Generate...

Description*Provides guidance to coding technicians in ICD-10-CM and CPT coding activities.*Provides codes as requested, especially for billing.* Enters codes and information into Hosptial computer system and medical record.*Advocates for an effective management of information plan with emphasis on security, integrity and confidentiality of information.*Facilitates the integration of information with hospital-wide patient care function through accurate abstraction of data.Requirements Please place the following information above for Primary Contact: Name: Human Resources Phone: (626) 458-4777 Email: jobs@alhambrahospital.com SummaryWork Experience:*Previous Coding experience, 2-4 years.Education Level:*High School Diploma or equivalent*Completion of coding coursesLicense, Certification or Registration Required*CCS preferred (certified coding specialist)*CPC required (certified professional coder)

In accordance with current federal & state coding compliance regulations and guidelines, the 'IP Coding Compliance Auditor" performs 2nd level reviews of previously coded inpatient accounts for MS-DRG validation purposesâincluding the accuracy and completeness of all ICD-10-CM and ICD-10-PCS code assigned by inpatient coders. Ensure appropriate MS-DRG & APR-DRG, including SOI & ROM scores. Performs 2nd level reviews of variables affecting MS-DRG and/or APR-DRGâsuch asâHACs, PSIs, Elixhauser Comorbidities, etc. Performs targeted/focused 2nd level reviews on Cloudmed & CCI external audit findings. Work with other stakeholders to performs targeted/focused 2nd level reviews per internal project requests by Revenue Cycle Depts.(i.e., PFS, Patient Access, Case management), CDI, Quality, Risks, physician providers/Medical Staff committees, C-Suite, etc. All assigned codes and DRG classifications must be supported by clinical documentation contained in the medical record,...

We are looking for a Surgical Coder, who is responsible for accurately coding (ICD-10-CM, CPT, if applicable, Level I & II modifiers, if applicable) with experience coding all surgical specialties.MINIMUM REQUIREMENTS:+ High School Diploma+ Minimum of two years of experience in surgical coding+ Coding Certifications: The following are recognized professional certifications: Certified Professional Coder (CPC); Certified Outpatient Coder (COC); Certified Inpatient Coder (CIC); Certified Coding Specialist (CCS); or Certified Coding Specialist – Physician (CCS-P). Coding Specialist II coders are required to possess at least one of the above professional services coding certifications. Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position.+ Pass a pre-employment coding test that is provided, developed and administered by candidate...

Job Description Job Description Description: ESSENTIAL FUNCTIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily with or without accommodation. The requirements listed below are representative, but not all inclusive, of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. Audit Planning: Research applicable documentation and reimbursement regulations to apply in the development of an audit plan for both scheduled and unscheduled audits and investigations. Conducting Audits: Performs documentation and coding audits, reviewing medical records and charges to ensure compliance with CPT coding standards and the Centers for Medicare & Medicaid Services (CMS) conditions of coverage and guidelines. Analysis, Reporting, and Educatio n: Conducts analysis of audit findings to identify trends/problems...

Job Description JOB DESCRIPTION Job Summary Provides support to the business by making sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and denials. KNOWLEDGE/SKILLS/ABILITIES Performs on-going chart reviews and abstracts diagnosis codes Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly Documents results/findings from chart reviews and provides feedback to management, providers, and office staff Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment Builds positive relationships between providers and Molina by providing coding assistance when necessary Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education...

Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary Reporting to the Director of Ambulatory Business Services, the Coding Auditor provides professional services auditing including training, consultation, audit and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Advocates compliance with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid...

Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. J ob S u mma r y Reporting to the Director of Ambulatory Business Services, the Coding Auditor provides professional services auditing including training, consultation, audit and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Advocates compliance with all third party billing and reimbursement...

Job Description Job Description Our company is seeking a Durable medical equipment (DME) Biller to conduct our Medi- cal/MediCare/independent Insurance billing process. A Billing Specialist/ Medical Coder is expected to assist with all internal billing needs and compliance. The Billing Specialist/ Medical Coder is responsible for insurance follow up and Accounts Receivable Management. This position is also responsible for Charge Review, Claims Mailing, Documentation Attachment and other duties as necessary to get charges submitted. **Prior experience in DME Medical Billing and Coding is a *Required* DME Medical Biller Tasks: - Conduct our Medi- cal/MediCare/independent Insurance billing process. - Run eligibility for patients - Timely filing of claims - Actively working to maintain a high percentage of net collection rate - Experience in dealing with denied claims - Work in multiple software systems to accomplish AR results - Furnish invoices for claims when requested -...

Job Description Job Description Medical Billing and Collections Specialist Newport Beach, CA   Medical Billing office is seeking an experienced Medical Biller/Collector to process and follow up on Physician claims from one or more payer type (HMO, PPO, Medi-Cal, Medicare, etc.), in order to ensure timely payment is received for services rendered. This role is primarily A/R focused, but may include some billing and basic coding functions.   Duties: - Review and analyze medical documentation and patient records to ensure accurate and timely billing - Assign appropriate medical codes (ICD-9, CPT, HCPCS) to diagnoses, procedures, and services rendered - Follow up on unpaid or denied claims and resubmit as necessary - Process payments from insurance companies and patients - Maintain accurate and up-to-date patient billing records - Answer patient inquiries regarding billing and insurance coverage - Work A/R aging reports, and collaborate with insurance companies to...