Top 89 Revenue cycle specialist Jobs in Cypress, Ca

Home Infusion Collections Specialist (CPR+ Software Experience Required)
Apex Infusion Pharmacy —Signal Hill, CA
- $25 - $30 an hour
- Full-time
- Microsoft Outlook
- HIPAA
- Research
- Health savings account
- Paid holidays
Quick Apply
5d
Junior Wealth Advisor - The Baldwin Group Financial Services
The Baldwin Group —Irvine, CA
- From $80,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- 3 years
- Finance
Billing Specialist
Soni Resources Group —Los Angeles, CA
- $25 - $28 an hour
- Contract
- Mid-level
- Analysis skills
- Continuous improvement
- Travel reimbursement
Quick Apply
7h
Patient Registration Rep
St Mary Medical Center —Long Beach, CA
- $26.31 - $33.05 an hour
- PRN
- Acute care
- Medical office experience
- High school diploma or GED
12h
Billing Specialist Lead: Revenue Cycle Operations
Hoag Health System —Costa Mesa, CA
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Healthcare Revenue Cycle Billing Specialist II (SNF)
Wipfli —Irvine, CA
- $23 - $30 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health savings account
- AD&D insurance
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
Cash Posting & Credit Balance Supervisor - Hospital PFS - Revenue Cycle
Guidehouse Managed Services LLC —El Segundo, CA
- $74,000 - $124,000 a year
- Full-time
- Hybrid work
- 7 years
- Word processing
- Mid-level
- Health savings account
- Paid holidays
Revenue Cycle Specialist III (Orthopedics)
Cedars-Sinai —Los Angeles, CA
- $25.57 - $39.63 an hour
- 8 hour shift
- Hospital
- Research
- Finance
- Paid time off
- 403(b)
Accounts Payable Specialist
Everflow Technologies Inc. —Costa Mesa, CA
- $65,000 - $70,000 a year
- Full-time
- Hybrid work
- Bachelor of Science
- English
- Mid-level
- Paid parental leave
- Health insurance
Quick Apply
Revenue Cycle Specialist II (Commercial Collections)
Cedars-Sinai —Los Angeles, CA
- $25.00 - $35.94 an hour
- 8 hour shift
- Customer service
- Computer literacy
- Basic math
- Health insurance
- Dental insurance
Cash Posting & Credit Balance Supervisor - Hospital PFS - Revenue Cycle
Guidehouse —El Segundo, CA
- $74,000 - $124,000 a year
- Hybrid work
- 7 years
- Word processing
- Office
- Health savings account
- Paid holidays
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)
USC —Alhambra, CA
- $99,507 - $130,000 a year
- 8 hour shift
- Remote
- Nursing
- RN License
- 5 years
Fin Care Specialist I (Customer Service)
Cedars-Sinai —Los Angeles, CA
- $25.57 - $39.63 an hour
- 8 hour shift
- High school diploma or GED
- Fair chance
- Business Administration
- Health insurance
- Dental insurance
Revenue Cycle Specialist II (Physician Billing)
Cedars-Sinai —Los Angeles, CA
- $25.00 - $35.94 an hour
- 8 hour shift
- Basic math
- HIPAA
- English
- Health insurance
- Dental insurance
Revenue Cycle Specialist
BEHAVIORAL HEALTH SERVICES INC —Gardena, CA
- $25 - $30 an hour
- Full-time
- Writing skills
- HIPAA
- Research
Quick Apply
Biller IV - HB Patient Financial Services - FT Days
University of California, Irvine —Anaheim, CA
- $30.94 - $38.48 an hour
- Full-time
- Background check
- Mid-level
- Math
- Health insurance
- Retirement plan
Revenue Cycle Specialist
Acacia Health —Irvine, CA
- $72,000 - $75,000 a year
- Full-time
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Lung Transplant Financial Services Specialist
Cedars-Sinai —Los Angeles, CA
- $29.60 - $45.88 an hour
- 8 hour shift
- Computer science
- Computer Science
- Hospital
- Health insurance
- 403(b)
12d
Revenue Cycle Specialist III (Gastroenterology)
Cedars-Sinai —Los Angeles, CA
- $25.57 - $39.63 an hour
- 8 hour shift
- Research
- Finance
- High school diploma or GED
- Health insurance
- Dental insurance

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Home Infusion Collections Specialist (CPR+ Software Experience Required)

Apex Infusion Pharmacy
Signal Hill, CA

Quick Apply

Job Details

Full-time
$25 - $30 an hour
5 days ago

Benefits

Health savings account
Paid holidays
Health insurance
Paid time off
Parental leave
401(k) matching
Opportunities for advancement
Flexible schedule
Referral program
Retirement plan

Qualifications

Appeals
Collections agent experience
Teamwork
Microsoft Outlook
Medicare
Medical software
Spreadsheets
HIPAA
Research
High school diploma or GED
Medicaid health insurance
ICD-10
HCPCS
Medicare regulations
Attention to detail
Medical insurance appeals management
Organizational skills
Medicaid regulations
Medicaid
Medical Billing & Coding
Insurance claims appeal handling
Medical debt collection accounts

Full Job Description

Home Infusion Medical Collections Specialist (CPR+ Experience Required)

Salary: Competitive, based on experience

About Us

We are a growing home infusion pharmacy dedicated to providing exceptional patient care while maintaining the highest standards of billing accuracy and reimbursement. We are seeking an experienced, detail-oriented Medical Collections Specialist with home infusion billing and CPR+ software experience to join our Revenue Cycle team.

Position Summary

The Medical Collections Specialist is responsible for managing and resolving outstanding insurance claims, following up with commercial, Medicare, and Medicaid payers, appealing denied claims, and ensuring timely reimbursement. The ideal candidate has a strong understanding of home infusion reimbursement and can work independently in a fast-paced environment.

Essential Responsibilities

Follow up on outstanding insurance claims to ensure prompt payment.
Investigate and resolve claim denials, rejections, and underpayments.
Prepare and submit first- and second-level appeals.
Work directly with insurance companies to resolve claim issues.
Review Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and payer correspondence.
Identify billing errors and coordinate corrections with the billing team.
Maintain accurate documentation of all collection activities within CPR+.
Monitor aging reports and prioritize accounts for follow-up.
Meet departmental productivity and collection goals.
Maintain compliance with HIPAA and all applicable payer regulations.
Collect outstanding insurance balances for home infusion and specialty pharmacy claims.
Follow up with Medicare, Medicaid, and commercial insurance carriers regarding unpaid, denied, and underpaid claims.
Analyze EOBs, ERAs, payer correspondence, and denial reasons.
Prepare and submit first-level, second-level, and external appeals.
Resolve authorization, medical necessity, coding, coordination of benefits, and timely filing issues.
Research payer policies and identify opportunities for additional reimbursement.
Work closely with billing, intake, authorization, pharmacy, and clinical staff to resolve claim issues efficiently.
Maintain complete documentation of all collection activities in CPR+.
Prioritize aged accounts to maximize cash collections.
Meet or exceed monthly productivity and collection goals while maintaining quality standards.
Ensure compliance with HIPAA, Medicare, Medicaid, and payer guidelines.

Required Qualifications

Minimum of 2 years of medical collections experience in a home infusion pharmacy or specialty pharmacy.
Hands-on experience with CPR+ software is required.
Strong knowledge of Medicare, Medicaid, and commercial insurance reimbursement.
Experience appealing denied claims and resolving complex billing issues.
Knowledge of HCPCS, CPT, ICD-10, modifiers, and medical necessity requirements.
Excellent communication, organization, and problem-solving skills.
Ability to manage multiple priorities while meeting deadlines.
Proficiency with Microsoft Office applications, particularly Excel and Outlook.

Preferred Qualifications

CPR+ experience is required. Home infusion pharmacy experience is strongly preferred.
Experience with Waystar or other medical claims clearinghouses.
Knowledge of infusion therapy billing and reimbursement.
Familiarity with payer portals and electronic claim status systems

Candidates with experience collecting claims for the following therapies are highly encouraged to apply:

IVIG
Biologic therapies
Autoimmune disease infusions
Neurology infusions
Rheumatology infusions
Gastroenterology infusions
Oncology supportive care
Specialty injectable medications

What We Offer

Competitive salary (based on experience)
Paid Time Off (PTO)
Paid Holidays
Health Insurance
401(k) with company match
Opportunities for professional growth and advancement
Supportive, team-oriented work environment

Schedule

Full-time
Monday through Friday
Day Shift

Work Location

On-site

If you are an experienced medical collections professional with CPR+ home infusion experience and are passionate about maximizing reimbursement while supporting quality patient care, we encourage you to apply.

Job Type: Full-time

Pay: $25.00 - $30.00 per hour

Benefits:

401(k) matching
Flexible schedule
Health insurance
Health savings account
Paid time off
Parental leave
Referral program
Retirement plan

Experience:

Infusion Pharmacy and CPR + Software: 2 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

revenue cycle specialist jobs in cypress, ca

Home Infusion Collections Specialist (CPR+ Software Experience Required)

Junior Wealth Advisor - The Baldwin Group Financial Services

Billing Specialist

Patient Registration Rep

Billing Specialist Lead: Revenue Cycle Operations

Healthcare Revenue Cycle Billing Specialist II (SNF)

Revenue Cycle Specialist I (Cash Management)

Cash Posting & Credit Balance Supervisor - Hospital PFS - Revenue Cycle

Revenue Cycle Specialist III (Orthopedics)

Accounts Payable Specialist

Revenue Cycle Specialist II (Commercial Collections)

Cash Posting & Credit Balance Supervisor - Hospital PFS - Revenue Cycle

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)

Fin Care Specialist I (Customer Service)

Revenue Cycle Specialist II (Physician Billing)

Revenue Cycle Specialist

Biller IV - HB Patient Financial Services - FT Days

Revenue Cycle Specialist

Lung Transplant Financial Services Specialist

Revenue Cycle Specialist III (Gastroenterology)

I want to receive the latest job alert for revenue cycle specialist in cypress, ca

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