Top 541 Medical claims processing Jobs in California

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 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
Facility Outpatient Surgical and Claims Edit Auditor (Remote)
Cedars-Sinai —Los Angeles, CA
- $45.89 - $73.42 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- 3 years
- Dental insurance
- 403(b)
Supervisor, Provider Enrollment - Remote - Nationwide
Vituity —Sacramento, CA
- $64,970 - $81,215 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Profit sharing
- Wellness program
Medical Claims Intake Coordinator
UCLA Health —Los Angeles, CA
- $26.42 - $37.49 an hour
- Medical office experience
- No high school diploma
- Mid-level
Facility Inpatient Surgical and Claims Edit Auditor
Cedars-Sinai —Los Angeles, CA
- $45.89 - $73.42 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- 3 years
- Dental insurance
- Paid time off
Pharmacy Care Coordinator
Optum —El Segundo, CA
- $17.98 - $32.12 an hour
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Microsoft Outlook
MEDICARE SPECIALIST (Medicare Billing)
Stance Health Solutions, Inc —La Crescenta, CA
- $23.67 - $29.77 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Medical terminology
Quick Apply
HCAI - MEDICAL BILLING AND CODING - TRAINING PROGRAM
OCHIN —California
- $20 an hour
- Temporary
- Remote
- 18 years or older
- Spanish
- Microsoft Excel
- COVID-19 protective measures
- Paid holidays
11d
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
Medical Supply Technician Sterile Processing (Technical Career Field Trainee (TCF)
US Veterans Health Administration —Loma Linda, CA
- $67,858 - $88,216 a year
- Online Application
- Background check
- Surgery
- High school
- Dental insurance
4d
Patient Account Representative I
Stanford Health Care —Palo Alto, CA
- $31.94 - $35.94 an hour
- Full-time
- Writing skills
- Basic math
- High school diploma or GED
11d
Patient Biller 3
UCLA Health —Los Angeles, CA
- $29.04 - $38.29 an hour
- Medical office experience
- Mid-level
- Quality control
Claims Examiner II
Partnership HealthPlan of California —Fairfield, CA
- $31.45 - $37.74 an hour
- Research
- Mid-level
- Office
Medical Billing A/R Specialist
Medica Billing Solutions —California
- $35,000 - $40,000 a year
- Full-time
- Remote
- Computer literacy
- Writing skills
- Basic math
- Work from home
Claims Receivables and Recovery Specialist
WESTERN GROWERS GROUP —Irvine, CA
- $46,669.19 - $60,668.60 a year
- Full-time
- Remote
- Writing skills
- HIPAA
- Research
- Dental insurance
Quick Apply
2d
DME Documentation Criteria Reviewer
Hike Medical —San Francisco, CA
- $90,000 - $145,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Commercial
Patient Accounting Representative Part Time
Washington Hospital —Fremont, CA
- $35.38 - $43.43 an hour
- 8 hour shift
- Hospital
- Mid-level
Quick Apply
Medical Assistant, Outpatient - Clinic Overhead - Call Center (Full-Time, Day Shift)
Adventist Health —Hanford, CA
- $25.00 - $30.01 an hour
- Full-time
- High school diploma or GED
- Experience equivalent to degree accepted
- Associate's degree
Patient Account Rep - FT - Days - Billing and Collection @ MV
El Camino Hospital —Mountain View, CA
- $33.75 - $50.63 an hour
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Quick Apply
2d

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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

medical claims processing jobs in california

Medical Biller

Claims Auditor, Managed Care (remote)

Facility Outpatient Surgical and Claims Edit Auditor (Remote)

Supervisor, Provider Enrollment - Remote - Nationwide

Medical Claims Intake Coordinator

Facility Inpatient Surgical and Claims Edit Auditor

Pharmacy Care Coordinator

MEDICARE SPECIALIST (Medicare Billing)

HCAI - MEDICAL BILLING AND CODING - TRAINING PROGRAM

Medical Records Clerk

Medical Supply Technician Sterile Processing (Technical Career Field Trainee (TCF)

Patient Account Representative I

Patient Biller 3

Claims Examiner II

Medical Billing A/R Specialist

Claims Receivables and Recovery Specialist

DME Documentation Criteria Reviewer

Patient Accounting Representative Part Time

Medical Assistant, Outpatient - Clinic Overhead - Call Center (Full-Time, Day Shift)

Patient Account Rep - FT - Days - Billing and Collection @ MV

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