Top 239 Medical claims Jobs in Kaiser Ca

Medical Biller
Purposely Chosen, Inc./Born for Nia Maternity Home —Riverside, CA
- $20 - $25 an hour
- Full-time
- HIPAA
- Mid-level
- Residential
- Health insurance
- Dental insurance
Quick Apply
Medical Coder and Biller
Quanitx Health —Ontario, CA
- $50,000 - $65,000 a year
- Contract
- HIPAA
- Mid-level
- In-person
Quick Apply
8d
Lead Claims Compliance Coordinator
Choice Physicians Network Inc —San Bernardino, CA
- $68,000 - $88,400 a year
- Full-time
- Hybrid work
- Analysis skills
- Neurology
- Senior level
Quick Apply
Xcelys Medical Claims Examiner (Remote)
NTT DATA —Ontario, CA
- $20 an hour
- Contract
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Health savings account
- AD&D insurance
Quick Apply
7d
Provider Service Representative
Optum —Ontario, CA
- $18 - $32 an hour
- Full-time
- Spanish
- Pass drug screening
- English
- AD&D insurance
- Employee stock purchase plan
Medical Only Claims Specialist
CorVel Corporation —Rancho Cucamonga, CA
- $16.74 - $26.92 an hour
- Full-time
- Remote
- Bilingual
- Customer service
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Utilization Review Nurse LVN
Prime Healthcare Management Inc —Ontario, CA
- $71,760 - $99,590 a year
- Full-time
- LVN
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Transportation Network Representative
Inland Empire Health Plan —Rancho Cucamonga, CA
- $27.43 - $35.66 an hour
- Extended hours
- Hybrid work
- Microsoft Word
- Mid-level
- Office
- Disability insurance
- Health insurance
Payment Integrity Analyst
Inland Empire Health Plan —Rancho Cucamonga, CA
- $80,059.20 - $106,059.20 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Access
- Research
- Disability insurance
- Health insurance
6h
Xcelys Medical Claims Examiner-REMOTE
NTT DATA —Ontario, CA
- $20 an hour
- Contract
- Remote
- High school diploma or GED
- Analysis skills
- Continuous improvement
Quick Apply
Collector 1
Loma Linda University Health —San Bernardino, CA
- $25.12 - $27.73 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- English
4d
Senior Payment Integrity Analyst
Inland Empire Health Plan —Rancho Cucamonga, CA
- $91,249.60 - $120,910.40 a year
- Full-time
- Remote
- HIPAA
- SQL
- Analysis skills
- Disability insurance
- Health insurance
6h
Medical Coding and Billing Specialist
Stallant Health Crescent City —Highland, CA
- $28 - $34 an hour
- Full-time
- Mid-level
- Clinic
- Paid holidays
- Health insurance
Quick Apply
Compliance Coordinator
LSMA Management Inc —San Bernardino, CA
- $28.85 - $33.65 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
Manager, Payment Integrity Enablement
Inland Empire Health Plan —Rancho Cucamonga, CA
- $104,041.60 - $137,841.60 a year
- Full-time
- Hybrid work
- 7 years
- Microsoft Excel
- Office
- Disability insurance
- Health insurance
6h
Sr Managed Care Biller/Collector
Prime Healthcare Management Inc —Ontario, CA
- $23.94 - $38.00 an hour
- Full-time
- Mid-level
- Experience equivalent to degree accepted
- Associate's degree
- Health insurance
- Dental insurance
1d
AR Area Manager/AR Consultant
Rockwell Care —Ontario, CA
- $130,000 - $140,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- Residential
- Health insurance
- Dental insurance
Quick Apply
Senior Payment Integrity Program Development Specialist
Inland Empire Health Plan —Rancho Cucamonga, CA
- $80,059.20 - $106,059.20 a year
- Full-time
- Hybrid work
- Office
- SQL
- Analysis skills
- Disability insurance
- Health insurance
6h
Billing Specialist - Remote
Polaris Pharmacy Services —Covina, CA
- $20 - $23 an hour
- Extended hours
- Remote
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
COORD - RISK MGMT
Riverside Medical Clinic —Riverside, CA
- $28.51 - $42.78 an hour
- Full-time
- LVN
- Hospital
- HIPAA
10d

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medical claims jobs near kaiser ca

Medical Biller

Purposely Chosen, Inc./Born for Nia Maternity Home -
Riverside, CA

Quick Apply

Job Details

Full-time
$20 - $25 an hour

Benefits

Health insurance
Dental insurance
Paid time off

Qualifications

Spreadsheets
Regulatory compliance in claims processing
High school diploma or GED
ICD-10
Health insurance knowledge
Electronic health record (EHR) management for billing and coding
Medical billing
Medicaid regulations
Productivity software

Full Job Description

About Us

Purposely Chosen, Inc. is a nonprofit organization committed to transforming lives through compassionate, trauma-informed care. Through our Born for Nia Maternity Home and behavioral health programs, we provide supportive services that empower youth, young adults, and families to achieve stability, wellness, and independence. We are seeking a detail-oriented and compliance-driven Medi-Cal Billing Specialist to support our behavioral health and residential programs.

Position Summary

The Medi-Cal Billing Specialist is responsible for the accurate and timely submission, reconciliation, and monitoring of Medi-Cal claims for specialty mental health and residential treatment services. This position works closely with clinical, administrative, and finance staff to ensure compliance with California Department of Health Care Services (DHCS), San Bernardino County Department of Behavioral Health (DBH), Medi-Cal, and agency policies.

The ideal candidate has experience with behavioral health billing, strong analytical skills, and a commitment to maintaining the integrity of the agency's reimbursement process.

Essential Duties and Responsibilities

Prepare, review, and submit Medi-Cal claims accurately and within required deadlines.
Monitor claim status and resolve denied, rejected, or unpaid claims.
Verify documentation supports services billed and identify documentation deficiencies.
Collaborate with clinical and program staff to ensure accurate coding and billing.
Reconcile payments, adjustments, and remittance advice.
Maintain billing reports, productivity data, and reimbursement tracking.
Assist with internal audits, external audits, and quality assurance activities.
Ensure compliance with DHCS, San Bernardino County DBH, HIPAA, and agency policies.
Report billing discrepancies and assist in identifying and correcting overpayments.
Stay informed of changes in Medi-Cal billing regulations and participate in required trainings.
Maintain strict confidentiality of client and agency information.
Perform other related duties as assigned.

Minimum QualificationsEducation

High school diploma or GED required.
Associate degree in Medical Billing, Health Information Management, Business Administration, or a related field preferred.

Experience

Minimum of two (2) years of medical billing experience.
At least one (1) year of California Medi-Cal billing experience, preferably in behavioral health.
Experience with electronic health records (EHR) systems required; MyAvatar experience is highly desirable.
Experience with county-contracted behavioral health or STRTP programs is preferred.

Knowledge, Skills, and Abilities

Knowledge of California Medi-Cal billing regulations and behavioral health reimbursement.
Understanding of DHCS and San Bernardino County DBH billing requirements.
Familiarity with ICD-10 diagnosis coding and applicable CPT/HCPCS coding.
Strong attention to detail and organizational skills.
Excellent analytical and problem-solving abilities.
Proficiency in Microsoft Office, particularly Excel.
Ability to work independently while managing multiple priorities.
Excellent written and verbal communication skills.
Commitment to ethical billing practices and regulatory compliance.

Preferred Qualifications

Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar certification preferred.
Experience with behavioral health compliance audits.
Experience working with nonprofit organizations and trauma-informed service providers.

Equal Opportunity Employer

Purposely Chosen, Inc./Born for Nia Maternity Home is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive workplace for all employees. Employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Benefits:

Dental insurance
Health insurance
Paid time off

Education:

High school or equivalent (Preferred)

Experience:

ICD-10: 1 year (Preferred)
Medical billing: 1 year (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

medical claims jobs in kaiser ca

Medical Biller

Medical Coder and Biller

Lead Claims Compliance Coordinator

Xcelys Medical Claims Examiner (Remote)

Provider Service Representative

Medical Only Claims Specialist

Utilization Review Nurse LVN

Transportation Network Representative

Payment Integrity Analyst

Xcelys Medical Claims Examiner-REMOTE

Collector 1

Senior Payment Integrity Analyst

Medical Coding and Billing Specialist

Compliance Coordinator

Manager, Payment Integrity Enablement

Sr Managed Care Biller/Collector

AR Area Manager/AR Consultant

Senior Payment Integrity Program Development Specialist

Billing Specialist - Remote

COORD - RISK MGMT

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