Top 1467 Medical billing and coding Jobs in California

Claims Analyst
Clever Care Health Plan —Huntington Beach, CA
- $88,000 - $100,000 a year
- Full-time
- Hybrid work
- Background check
- Writing skills
- Mid-level
MEDICAL BILLING AND CODING (NOT AN MA POSITION)
Cal Med Central Billing, Inc —Salida, CA
- From $20 an hour
- Multiple hires
- High school diploma or GED
- US work authorization
- Data entry
- Health insurance
- Paid time off
Quick Apply
Medical Insurance Authorization and Billing Specialist
A Senior Connection —Sacramento County, CA
- $55,000 - $80,000 a year
- Full-time
- Hybrid work
- Google Workspace
- Salesforce
- HIPAA
- Health insurance
- 401(k)
Quick Apply
Medical Biller
Private Practice —Beverly Hills, CA
- $30 - $35 an hour
- Part-time
- Medical office experience
- Mid-level
- In-person
- Flexible schedule
Quick Apply
Senior Epic Applications Analyst - Professional Billing and Claims
Delta Dental —Oakland, CA
- $80,500 - $174,300 a year
- Full-time
- Hybrid work
- Background check
- Clinic experience
- Research
- Paid holidays
- Health insurance
EPIC Software Cardiology Insurance Claims Specialist
Advanced Billing Consultants —California
- $20 - $25 an hour
- Full-time
- Remote
- Microsoft Outlook
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
17h
Patient Biller, Specialty Billing - Remote
UC San Diego Health —San Diego, CA
- $30.05 - $37.36 an hour
- 8 hour shift
- Remote
- Microsoft Outlook
- Writing skills
- Pass drug screening
Charge Capture Coordinator - Clinical Revenue Integrity - Full Time 8 Hour Days (REMOTE) (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $29.00 - $45.20 an hour
- 8 hour shift
- Remote
- Anatomy knowledge
- Customer service
- Writing skills
Medicaid Billing Specialist
CHP Health —California
- $25 - $35 an hour
- Monday to Friday
- Remote
- Mid-level
- High school diploma or GED
- Continuous improvement
Medical Coder and Biller (Vascular Procedures)
California Foot & Ankle Centers —Sacramento, CA
- $22 - $28 an hour
- Part-time
- Remote
- Microsoft Word
- Anatomy knowledge
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
MRA Coding Auditor - Remote
Alignment Healthcare USA, LLC —Orange, CA
- $64,384 - $96,577 a year
- Full-time
- Remote
- Microsoft Outlook
- Basic math
- HIPAA
Quick Apply
7d
HIM Specialty ROCC Coder - Health Information - FT Days
University of California, Irvine —Irvine, CA
- $48.04 - $63.41 an hour
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Customer service
- Health insurance
- Retirement plan
Billing Support Specialist II (Remote)
Rula —Los Angeles, CA
- $62,985 - $70,395 a year
- Full-time
- Remote
- Mid-level
- 1 year
- Commercial
- Paid parental leave
- Health savings account
2d
Medical Coder-Certified
San Joaquin County, CA —Stockton, CA
- $5,924.92 - $7,201.77 a month
- Overtime
- Anatomy knowledge
- Pass drug screening
- Mid-level
- Paid holidays
- Health insurance
Medical Biller - Remote
GeBBS Healthcare Solutions, Inc. —El Cajon, CA
- Remote
- 5 years
- Medical office experience
- Organizational skills
Quick Apply
Certified Medical Coder II (CPC or CCS)
Lifekind Health —Palm Desert, CA
- $60,000 - $65,000 a year
- Full-time
- Remote
- 5 years
- Mid-level
- Mentoring
- Disability insurance
- Health insurance
Quick Apply
Remote Auditor, Delegate Claims
Alignment Healthcare USA, LLC —Orange, CA
- $70,823 - $106,234 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
10d
Medical Coder - Remote (temporary, full-time)
Sprinter Health —Menlo Park, CA
- $30 an hour
- Full-time
- Remote
- Google Workspace
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Acute Coding Quality Review Auditor (Remote)
Adventist Health —Roseville, CA
- $36.91 - $50.62 an hour
- Remote
- 5 years
- Mid-level
- High school diploma or GED
7d
Workers' Compensation Claims Examiner
JT2 Integrated Resources —California
- From $90,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for medical billing and coding in california

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medical billing and coding jobs near california

Claims Analyst

Clever Care Health Plan -
Huntington Beach, CA

Apply Now

Job Details

Full-time
$88,000 - $100,000 a year

Qualifications

Managed care
Managed care organization experience
High school diploma or GED
Health insurance knowledge
Task prioritization

Full Job Description

Applicants must be located in Southern California in Los Angeles or Orange County,

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? ✨

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.

Why Join Us?

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Job Summary

The Claims Analyst will work with the Senior Director of Medicare Operations in identifying potential areas for process improvement initiatives to support development of automation, payment accuracy, audit activities, business rules and P&Ps. Claim analyst is responsible for the end to end process for any configuration and automation projects

Functions & Job Responsibilities

Includes claims systems utilization, capacity analyses/planning and reporting including claims-related business and systems analysis
Excellent analytical, problem solving and troubleshooting activities.
Must be able to analyze requirements for any Claim related projects
Provide configuration support based on business needs including but not limited to DOFR, Benefits, and MOOP.
Evaluate and Analyze any business needs including but not limited to DOFR, Benefits, and MOOP related to Claims Department.
Review and recommend improvement to current configuration
Document and Report to Senior Claims analyst and Director of Medicare Operations
Perform Test Cases
Run Test, study and analyze result, and troubleshoot if necessary
Ability to pull and analyze reports necessary to support claim department needs
Validating accuracy of reports produced and submitted by the Claims Department.
Assists in preparing and reviewing cases for regulatory and other health plan reports and requirements.
Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
Assists in validating claim compliance reports
Create Business Requirement Document as needed
Create CMS Reports as needed by Director of Operations
Manage and support new projects and regulatory updates in accordance with CMS

Qualifications

Education/Experience:

High School diploma or equivalent required. Associate degree or an equivalent combination of education and claims processing experience preferred. Bachelor’s degree in related field (preferred).
2 to 5 years of experience in a managed care claims processing environment required
Demonstrate knowledge of applicable claims processes (e.g., end-to-end claims cycle, auto-adjudication, manual work processes, payment methodologies, rework/adjustment processes)
Terminology, CPT, revenue codes, ICD10, HCPCS codes as it relates to claims processing adjudication. Core claims processing systems and healthcare authorization systems.

Skills:

Perform in a fast-paced environment and work under pressure.
Communicate clearly and concisely, both verbally and in writing to individuals of diverse backgrounds.
Organize, plan and prioritize work activities, possess analytical and problem-solving skills.
Troubleshoot claims adjudication problem areas.
Encourage and utilize suggestions and new ideas.
Comprehend and interpret provider contracts and Divisional Financial of Responsibility (DOFR).
Utilize and access computer and appropriate software (e.g., Microsoft: Word, Excel, PowerPoint) and job-specific applications/systems (e.g., EZCAP Claims Processing System and Authorization system) to produce correspondence, charts, spreadsheets, and/or other information applicable to the position.

Wage Range: $88,000.00 to $100,000.00 per year

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.

#LI-Hybrid

Apply Now

Refine Your Search

medical billing and coding jobs in california

Claims Analyst

MEDICAL BILLING AND CODING (NOT AN MA POSITION)

Medical Insurance Authorization and Billing Specialist

Medical Biller

Senior Epic Applications Analyst - Professional Billing and Claims

EPIC Software Cardiology Insurance Claims Specialist

Patient Biller, Specialty Billing - Remote

Charge Capture Coordinator - Clinical Revenue Integrity - Full Time 8 Hour Days (REMOTE) (Non-Exempt) (Non-Union)

Medicaid Billing Specialist

Medical Coder and Biller (Vascular Procedures)

MRA Coding Auditor - Remote

HIM Specialty ROCC Coder - Health Information - FT Days

Billing Support Specialist II (Remote)

Medical Coder-Certified

Medical Biller - Remote

Certified Medical Coder II (CPC or CCS)

Remote Auditor, Delegate Claims

Medical Coder - Remote (temporary, full-time)

Acute Coding Quality Review Auditor (Remote)

Workers' Compensation Claims Examiner

I want to receive the latest job alert for medical billing and coding in california

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected