Top 553 Claims processing Jobs in Brea, Ca

Medical Biller
Nhan Hoa Comprehensive Health Care Clinic —Garden Grove, CA
- $23 - $26 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Claims Manager
West Coast Sand & Gravel —Buena Park, CA
- $50,000 - $60,000 a year
- Full-time
- Mid-level
- Team management
- In-person
- Health insurance
- Dental insurance
Quick Apply
Alternative Payments | Lead Payment Specialist
Drew Child Development Corporation —Los Angeles, CA
- $27.00 - $32.97 an hour
- Full-time
- Background check
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Collection Account Specialist I
HealthQuest Esoterics —Irvine, CA
- $22 - $25 an hour
- Full-time
- Medical office experience
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Human Resources Advisor
T&T Supermarket US —Chino Hills, CA
- $70,304 - $85,000 a year
- Full-time
- Background check
- Spanish
- English
- Paid training
- AD&D insurance
Quick Apply
Associate Inventory Clerk - Claims Processing
Providence —Anaheim, CA
- $25.00 - $32.56 an hour
- Full-time
- Home Health
- Fair chance
- 1 year
- Paid parental leave
- Paid holidays
4d
Insurance Specialist (Remote) - Mountain and Pacific Time Zones
Meduit —Brea, CA
- $18 - $21 an hour
- Monday to Friday
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Health savings account
Quick Apply
Claims Processor
SY ADJUSTER LLC —Brea, CA
- From $25 an hour
- Part-time
- Word processing
- English
- Organizational skills
- Flexible schedule
Quick Apply
EXAMINER, CLAIMS
Pomona Valley Hospital Medical Center —Pomona, CA
- $24.43 - $34.38 an hour
- Full-time
- Hospital
- High school diploma or GED
- 1 year
8d
Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)
Sedgwick —Orange, CA
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Document Processing Specialist
Clever Care Health Plan —Huntington Beach, CA
- $18 - $22 an hour
- Full-time
- Background check
- Basic math
- Office
14d
Auto Liability Claim Rep
Travelers —Diamond Bar, CA
- $67,000 - $110,600 a year
- Mid-level
- Analysis skills
- Bachelor's degree
- Wellness program
- Paid holidays
Claims Specialist
Liberty Mutual —Orange, CA
- $57,000 - $101,000 a year
- Full-time
- Customer service
- Mid-level
- Bachelor's degree
Medical Records Clerk
Orthopaedic Specialty Institute Medical Group of Orange County —Orange, CA
- From $23 an hour
- Full-time
- Microsoft Outlook
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Claims Representative (IAP) - Workers Compensation Training Program, Long Beach, CA
Sedgwick —Long Beach, CA
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Claims Representative (IAP) - Workers Compensation Training Program - Ontario, CA
Sedgwick —Ontario, CA
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Claims Auditor, Managed Care (remote)
Cedars-Sinai —Los Angeles, CA
- $27.74 - $43.00 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Claims Examiner- Workers Compensation | Brea, CA (Hybrid)
Sedgwick —Brea, CA
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Office
- Health savings account
- Disability insurance
Workers Compensation Claims Examiner | Must Reside in CA
Sedgwick —Brea, CA
- Full-time
- Hybrid work
- 5 years
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Revenue Cycle Analyst (Remote)
Cedars-Sinai —Los Angeles, CA
- $74,838.40 - $116,001.60 a year
- 8 hour shift
- Remote
- Mid-level
- Finance
- High school diploma or GED
- Paid time off
- 403(b)

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Medical Biller

Nhan Hoa Comprehensive Health Care Clinic -
Garden Grove, CA

Quick Apply

Job Details

Full-time
$23 - $26 an hour

Benefits

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

Qualifications

HIPAA compliance
Medicare
HIPAA
Medical coding experience in outpatient clinics
High school diploma or GED
Medicaid health insurance
Medicare regulations
Electronic health record (EHR) management for billing and coding
Attention to detail
Medical billing
Organizational skills
Medicaid regulations
Medicaid
Health information management
Medical Billing Certification
Clinical confidentiality policies
Document management
Managing patient records
Medical terminology
Medical debt collection accounts
Patient collections management

Full Job Description

Job Overview
We are seeking a detail-oriented and energetic Medical Biller to join our dynamic healthcare team! In this pivotal role, you will be responsible for ensuring accurate and timely submission of claims, and facilitating smooth financial operations within our medical practice. As a medical biller you will also be responsible for accurately recording and timely posting of all monies received from various payors, and adjustments according to contractual terms, and follow up with unpaid claims or delinquent accounts. Your expertise will help optimize revenue cycles, improve patient satisfaction, and support the overall efficiency of our healthcare services. If you thrive in a fast-paced environment and have a passion for medical coding and billing, this is your opportunity to make a meaningful impact!

Duties

Ensure successful entry of all encounters into the practice management electronically.
Reconcile all charges and data entered in the system assuring 100% data entry accuracy; assure correct provider; facility, medical service and coding are billed.
Assist the Billing Supervisor collect accounts receivable, including but not limited to the following revenue sources: Medi-Cal, Medicare, PPO, HMO, Private insurance and other fees for service revenue.
Assist the Billing Supervisor as directed to appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission daily as necessary.
Request and follow up on additional information as needed for auditing claims and all revenue reports including eligibility, benefits and provider information.
Submit claims to insurance companies on daily basis as necessary. Audit claims daily to ensure timely collections. Review EOB’s as directed to ensure compliance with billing practices. Monitor and date late payments within standard billing cycle timeframe. Initiate late payment notices to relevant parties.
File all correspondence into patient’s chart.
Follow billing policy guidelines and documented procedures.
Consistent demonstrate and uphold Nhan Hoa Clinic’s principle of providing quality health and human services to the medically underserved and low-income populations in a culturally sensitive manner.
Review patient bills for accuracy and completeness and obtain any missing information. Prepare, review, and transmit claims using billing software, including electronic and paper claim processing. Participate in handling follow-up questions from internal and external patients and work on resolving any discrepancies or errors.
File and maintain organized documentation of all billing and record. Follow set billing processes and procedures. Update and review all accounts to keep records of payments up to date.
Review and analyze accounts to identify trends and issues and recommend solutions. Work with the billing team, Billing Supervisor, and CFO in associated billing tasks as assigned.
Performs other work-related duties as assigned

Requirements

Proven experience in medical billing with a strong understanding of medical terminology and medical records management.
Proficient with CPT codes, HCPCS codes, modifiers, and ICD-10 coding
Knowledge of EMR/EHR systems for efficient claim processing and record keeping.
Experience with medical collection processes to recover outstanding payments effectively.
Ability to interpret complex insurance policies and coordinate with insurance companies for claim resolution.
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Understanding of FQHC billing is a plus.
Proficient computer skills, working knowledge of billing software.
Excellent attention to detail, organizational skills, and ability to work independently or as part of a team.
Able to multitask, prioritize, and manage time efficiently. Self-motivated and self-directed; able to work without supervision. Excellent verbal and written communication skills. Maintain patient confidentiality as per HIPAA regulations.

Join us in delivering exceptional healthcare experiences by ensuring our billing processes are seamless, accurate, and compliant! Your expertise will directly contribute to the financial health of our practice while supporting our mission to provide outstanding patient care through efficient administrative operations.

Pay: $23.00 - $26.00 per hour

Benefits:

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

Education:

High school or equivalent (Required)

Experience:

Medical billing: 2 years (Required)

License/Certification:

Medical Billing Certification (Preferred)

Ability to Commute:

Garden Grove, CA 92841 (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims processing jobs in brea, ca

Medical Biller

Claims Manager

Alternative Payments | Lead Payment Specialist

Collection Account Specialist I

Human Resources Advisor

Associate Inventory Clerk - Claims Processing

Insurance Specialist (Remote) - Mountain and Pacific Time Zones

Claims Processor

EXAMINER, CLAIMS

Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)

Document Processing Specialist

Auto Liability Claim Rep

Claims Specialist

Medical Records Clerk

Claims Representative (IAP) - Workers Compensation Training Program, Long Beach, CA

Claims Representative (IAP) - Workers Compensation Training Program - Ontario, CA

Claims Auditor, Managed Care (remote)

Claims Examiner- Workers Compensation | Brea, CA (Hybrid)

Workers Compensation Claims Examiner | Must Reside in CA

Revenue Cycle Analyst (Remote)

I want to receive the latest job alert for claims processing in brea, ca

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