Top 299 Medical biller Jobs in Bell Gardens, Ca

Claims Examiner III
Champion Health Plan is a Medicare Advantage Prescription Drug HMO C-SNP serving Medicare beneficiaries with End-Stage Renal Disease. —Long Beach, CA
- From $29 an hour
- Full-time
- Hybrid work
- Customer service
- Writing skills
- Office
- Health insurance
- Dental insurance
Quick Apply
12d
Medicare Hospital Biller
Ethos Management (Servicing AHMC Hospitals) —Alhambra, CA
- $23 - $26 an hour
- 8 hour shift
- Microsoft Excel
- HIPAA
- Office
- Health insurance
- Dental insurance
Quick Apply
Medical Claims Biller and Bookkeeper
Mi Sueño Speech Therapy —Covina, CA
- $25.17 - $30.31 an hour
- Overtime
- Spanish
- Mid-level
- Office
- Paid training
- Health insurance
Quick Apply
Managed Care Collector
Ethos Management (Servicing AHMC Hospitals) —Alhambra, CA
- $24 - $27 an hour
- Full-time
- Microsoft Excel
- HIPAA
- In-person
- Health insurance
- Dental insurance
Quick Apply
Medical Biller - Fertility Experience A Must
Beverly Sunset Surgical Associates, LLC —West Hollywood, CA
- $22.00 - $36.59 an hour
- Full-time
- Mid-level
- In-person
- 2 years
- Paid holidays
- Paid time off
Quick Apply
Medical Biller
Downey Physical Therapy Inc —Downey, CA
- $17 - $25 an hour
- Part-time
- Background check
- Spanish
- English
Quick Apply
11d
Biller - Full Time, Days (Bellflower)
NOR Healthcare Systems —Bellflower, CA
- $22.20 - $30.50 an hour
- Full-time
- Customer service
- Computer literacy
- HIPAA
Medical Billing Customer Representative
UCLA Health —Los Angeles, CA
- $30.79 - $40.60 an hour
- Mid-level
- 2 years
- Communication skills
11d
Patient Biller 3
UCLA Health —Los Angeles, CA
- $30.79 - $40.60 an hour
- Microsoft Excel
- Medical office experience
- Mid-level
Medical Biller
Outsource Medical Billing —Alhambra, CA
- $17 - $22 an hour
- Part-time
- High school
- Computer literacy
- No experience needed
- Flexible schedule
Quick Apply
11d
Insurance Biller - Government Programs FT Days
Torrance Memorial Medical Center —Torrance, CA
- $25.00 - $33.44 an hour
- Full-time
- Medical office experience
- Mid-level
- 1 year
Quick Apply
6d
Certified Professional Coder I
AltaMed Health Services Corporation —Commerce, CA
- $27.00 - $33.75 an hour
- Full-time
- Background check
- Mid-level
- High school diploma or GED
- 403(b) matching
- Paid holidays
Insurance Verification Clerk
Pacific Endo Surgical Center (11810) —Torrance, CA
- Full-time
- Computer skills
- Entry level
Billing Rep
St Mary Medical Center —Long Beach, CA
- $25.66 - $30.50 an hour
- Full-time
- Anatomy knowledge
- Mid-level
- Associate's degree
5d
Billing Specialist
Via Care Community Health Center —Los Angeles, CA
- $25.00 - $30.16 an hour
- Full-time
- Computer literacy
- HIPAA
- Office
Quick Apply
Accounts Receivable Representative IV
AltaMed Health Services Corporation —Commerce, CA
- $26.91 - $33.53 an hour
- Full-time
- Background check
- Spanish
- 6 years
- 403(b) matching
- Paid holidays
Revenue Cycle Specialist I (Cash Management)
Cedars-Sinai —Los Angeles, CA
- $25.00 - $32.61 an hour
- 8 hour shift
- High school diploma or GED
- Fair chance
- Associate's degree
- Health insurance
- Paid time off
Experienced Medical Biller
Renew Vein and Vascular —Los Angeles, CA
- $26 - $34 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- 401(k)
Quick Apply
Medical Biller
JOSEPH VARDAYO MD INC —Long Beach, CA
- $27 an hour
- Full-time
- Office
- Organizational skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
MEDICAL BILLER
Community Eye Center Optometry —Los Angeles, CA
- High school diploma or GED
- Entry level

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Claims Examiner III

Champion Health Plan is a Medicare Advantage Prescription Drug HMO C-SNP serving Medicare beneficiaries with End-Stage Renal Disease.
Long Beach, CA

Quick Apply

Job Details

Full-time
From $29 an hour
12 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Healthcare claims management
Medical claims
Medicare
Customer service
Health insurance policy knowledge
ICD-9
Attention to detail
Problem-solving
Medical terminology

Full Job Description

The Senior Claims Examainer is responsible for reviewing and adjudicating complex Facility, ASC or specialty claims submitted via paper or electronically. This role involves advanced administrative, operational, and customer support duties that require independent initiative and judgment. The types of claims include inpatient, coordination of benefits (COB) for high-dollar cases, dialysis, oncology/chemotherapy, home health agency, skilled nursing facility (SNF), hospital exclusions, and claim adjustments. The Claims Examiner III also audits professional claims for accuracy.

Functions & Job Responsibilities

Determine whether to return, deny, or pay institutional claims following organizational policies and procedures.
Conduct end-to-end claims audits to ensure claims are processed accurately according to benefits assignment, applicable contracts, pricing, and configuration rules.
Ensure institutional claims meet compliance guidelines.
Perform claims testing on claims configuration and enhancements.
Focus decisions on methods, tactics, and processes for completing administrative tasks/projects.
Regularly exercise discretion and judgment in prioritizing requests, interpreting and adapting procedures, processes, and techniques, and work under limited guidance due to previous experience and breadth and depth of knowledge of administrative processes and organizational knowledge.
Adjudicate complex professional and institutional claims.
Assist with training and mentoring new team members.
Assist with testing new claim processing procedures or projects.
Meet performance measurement standards for productivity and accuracy.
Adjudicate claim adjustments.
Review and correct claims involving data integrity issues.
Interface with other Champion Payor Solutions Departments, when necessary, regarding claims issues.
Participate in Claims Department Team Meetings and other activities as needed.
Support all department initiatives in improving overall efficiency.
Identify and recommend solutions for error issues as they relate to the pre-payment of claims.
Oversee the reduction of defects by identifying error issues as they relate to pre-payment of claims through adjudication and recommending solutions to resolve these issues.
Manage a caseload of various types of complex claims. Procure all medical records and statements that support the claim.
Meet department quality and production standards.
Meet State and Federal regulatory Compliance Regulations on turnaround times and claims payment for multiple lines of business.
Perform other duties as assigned.

Qualifications

Education & Experience:

Associate degree or equivalent combination of experience in health insurance or related fields, which would provide the necessary knowledge, skills, and abilities to successfully perform the work.
Three or more (3 +) years of experience in examining and processing institutional claims for inpatient, dialysis, SNF, and home health using Medicare prices.
Two (2) years of experience in examining and processing medical claims, professional or institutional.
Experience with Medicare/Medi-Cal is preferred.
Experience with claim adjustments, provider appeals, and/or disputes is preferred.

Skills:

Advanced knowledge and skills in medical terminology, HCPCS/CPT, and ICD-9/ICD-10.
Knowledge of Centers for Medicare and Medicaid Services claims payment guidelines.
Strong analytical skills, including the ability to analyze and organize data.
Strong attention to detail.
Excellent organizational, oral presentation, and written and verbal communication skills.
Proficiency in MS Office products, including PowerPoint, Excel, and Word.
Ability to provide effective leadership and direction within an organization.
Meet and consistently maintain production standards for Claims Adjudication.

Job Type: Full-time

Pay: From $29.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

medical biller jobs in bell gardens, ca

Claims Examiner III

Medicare Hospital Biller

Medical Claims Biller and Bookkeeper

Managed Care Collector

Medical Biller - Fertility Experience A Must

Medical Biller

Biller - Full Time, Days (Bellflower)

Medical Billing Customer Representative

Patient Biller 3

Medical Biller

Insurance Biller - Government Programs FT Days

Certified Professional Coder I

Insurance Verification Clerk

Billing Rep

Billing Specialist

Accounts Receivable Representative IV

Revenue Cycle Specialist I (Cash Management)

Experienced Medical Biller

Medical Biller

MEDICAL BILLER

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