Top 81 Revenue cycle specialist Jobs in Fullerton, 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
Medical Billing Specialist (Ophthalmology)
Ultimate Staffing Services —Bellflower, CA
- $24 - $26 an hour
- Full-time
- Mid-level
- Fair chance
Quick Apply
Revenue Cycle Specialist - AI Trainer
DataAnnotation —Irvine, CA
- $50 - $100 an hour
- Part-time
- Remote
- English
- Mid-level
- Master's degree
Quick Apply
Patient Services Specialist - Gastroenterology
Providence —Fullerton, CA
- $25.00 - $34.41 an hour
- Full-time
- Clinic
- Fair chance
- Entry level
- Paid parental leave
- Paid holidays
1d
Associate Patient Services Specialist - Fetal Diagnostic
Providence —Orange, CA
- $25.00 - $33.17 an hour
- Full-time
- Hospital
- Medical office experience
- Administrative experience
- Paid parental leave
- Paid holidays
3d
Patient Services Specialist - OBGYN
Providence —Fullerton, CA
- $25.00 - $34.41 an hour
- Full-time
- Clinic
- Fair chance
- Outpatient
- Paid parental leave
- Paid holidays
1d
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
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
Insurance Follow Up Specialist
PREMIER MEDICAL TRANSPORT INC —Brea, CA
- $20.00 - $27.50 an hour
- Full-time
- Microsoft Outlook
- Writing skills
- Research
- Health insurance
- Dental insurance
Quick Apply
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
Patient Services Specialist - Internal Medicine
Providence —Yorba Linda, CA
- $25.00 - $34.41 an hour
- Full-time
- Internal Medicine
- Clinic
- Fair chance
- Paid parental leave
- Paid holidays
5d
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
Billing Specialist Lead: Revenue Cycle Operations
Hoag Health System —Costa Mesa, CA
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
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
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 III (Orthopedics)
Cedars-Sinai —Los Angeles, CA
- $25.57 - $39.63 an hour
- 8 hour shift
- Hospital
- Research
- Finance
- Paid time off
- 403(b)
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
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
10h
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
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

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

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

revenue cycle specialist jobs near fullerton, ca

Revenue Cycle Specialist jobs in Irvine, CA

Biller jobs in Anaheim, CA

Revenue Cycle Specialist jobs in Los Angeles, CA

Gastroenterologist jobs in Fullerton, CA

Patient Services Coordinator jobs in Fullerton, CA

Patient Registration Representative jobs in Long Beach, CA

Financial Specialist jobs in Los Angeles, CA

Customer Service Representative jobs in Los Angeles, CA

Revenue Cycle Specialist jobs in Costa Mesa, CA

Passenger Service Agent jobs in New York, NY

Travel Agent jobs in North Carolina

Unlicensed Insurance Agent jobs in Remote

Collection Agent jobs in Mentor, OH

Collection Agent jobs in Milwaukee, WI

Collection Agent jobs in Mount Prospect, IL

Collection Agent jobs in Arlington, TX

Revenue Cycle Specialist jobs in Lawrenceville, GA

Revenue Cycle Specialist jobs in Chesterton, IN

Revenue Cycle Specialist jobs in Cleveland, OH

Early Intervention Specialist jobs in San Jose, CA

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 fullerton, ca

Home Infusion Collections Specialist (CPR+ Software Experience Required)

Medical Billing Specialist (Ophthalmology)

Revenue Cycle Specialist - AI Trainer

Patient Services Specialist - Gastroenterology

Associate Patient Services Specialist - Fetal Diagnostic

Patient Services Specialist - OBGYN

Revenue Cycle Specialist I (Cash Management)

Lung Transplant Financial Services Specialist

Insurance Follow Up Specialist

Fin Care Specialist I (Customer Service)

Patient Services Specialist - Internal Medicine

Revenue Cycle Specialist II (Commercial Collections)

Billing Specialist Lead: Revenue Cycle Operations

Biller IV - HB Patient Financial Services - FT Days

Healthcare Revenue Cycle Billing Specialist II (SNF)

Revenue Cycle Specialist III (Orthopedics)

Insurance Specialist (Remote) - Mountain and Pacific Time Zones

Patient Registration Rep

Revenue Cycle Specialist

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

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

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected