Top 314 Medical biller Jobs in La Palma Ca

Claims Examiner III
Champion Health Plan is a Medicare Advantage Prescription Drug HMO C-SNP serving Medicare beneficiaries with End-Stage Renal Disease. —Long Beach, CA
- From $29 an hour
- Full-time
- Hybrid work
- Customer service
- Writing skills
- Office
- Health insurance
- Dental insurance
Quick Apply
Medical Claims Biller and Bookkeeper
Mi Sueño Speech Therapy —Covina, CA
- $25.17 - $30.31 an hour
- Overtime
- Spanish
- Mid-level
- Office
- Paid training
- Health insurance
Quick Apply
Medicare Insurance Biller and AR Collections- Full Time, Irvine
Lifestyle O2 —Irvine, CA
- $30 an hour
- Full-time
- Office
- High school diploma or GED
- US work authorization
Quick Apply
12d
Biller/Collector III
Volt —La Habra, CA
- $27 - $28 an hour
- Urgently hiring
- 3 years
- Supervising experience
- Mentoring
- AD&D insurance
- Dental insurance
Quick Apply
2d
Government Biller-Collector Per Diem Day Shift
Avanti Hospitals —Cerritos, CA
- $24.93 - $36.66 an hour
- Part-time
- HIPAA
- Mid-level
- Office
Quick Apply
Collector- CBO Full Time Day Shift
Avanti Hospitals —Cerritos, CA
- $24.93 - $36.66 an hour
- Full-time
- HIPAA
- Mid-level
- Organizational skills
Quick Apply
Medical Biller
JOSEPH VARDAYO MD INC —Long Beach, CA
- $27 an hour
- Full-time
- Office
- Organizational skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
Biller - Full Time, Days (Bellflower)
NOR Healthcare Systems —Bellflower, CA
- $22.20 - $30.50 an hour
- Full-time
- Customer service
- Computer literacy
- HIPAA
Medical Biller
Dynamic Repair Solutions —Santa Ana, CA
- Entry level
Insurance Biller - Government Programs FT Days
Torrance Memorial Medical Center —Torrance, CA
- $25.00 - $33.44 an hour
- Full-time
- Medical office experience
- Mid-level
- 1 year
Quick Apply
9d
Billing Rep
St Mary Medical Center —Long Beach, CA
- $25.66 - $30.50 an hour
- Full-time
- Anatomy knowledge
- Mid-level
- Associate's degree
8d
Dental Office Front Desk/Biller
Cerritos Dentistry —Cerritos, CA
- From $27 an hour
- Part-time
- Background check
- Dental office
- Mid-level
Quick Apply
8d
Medical Biller
Han Orthopaedics —Fullerton, CA
- $25 an hour
- Full-time
- No experience needed
- Research
- Mid-level
- Health insurance
- 401(k)
Quick Apply
9d
Billing Clerk - Mental Health 109
Telecare Corporation —Long Beach, CA
- From $23 an hour
- Full-time
- English
- Office
- High school diploma or GED
Quick Apply
2d
Skilled Nursing Facility Medical Biller
Reliant Management —Anaheim, CA
- Full-time
- Skilled nursing facility
- Research
- Mid-level
Quick Apply
Patient Account Rep - Credit & Collection FT Days
Torrance Memorial Medical Center —Torrance, CA
- $24.00 - $34.02 an hour
- Full-time
- Medical office experience
- Mid-level
- Data entry
Quick Apply
Medical Biller and Coder
Hope Artificial Limb & Brace —Montebello, CA
- $25 - $30 an hour
- Part-time
- High school diploma or GED
- US work authorization
- In-person
Quick Apply
2d
Medical Biller/Coder
A&C Medical Center —Anaheim, CA
- $21 - $29 an hour
- Part-time
- Spanish
- English
- Mid-level
Quick Apply
Biller IV - HB Patient Financial Services - FT Days
University of California, Irvine —Anaheim, CA
- $32.81 - $40.80 an hour
- Full-time
- Background check
- Mid-level
- Math
- Health insurance
- Retirement plan
Long-Term Care Pharmacy Biller
IntegroCura Inc —Covina, CA
- $20 - $30 an hour
- Full-time
- HIPAA
- Research
- Entry level
Quick Apply

I want to receive the latest job alert for medical biller in la palma 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

medical biller jobs near la palma ca

Claims Examiner III

Champion Health Plan is a Medicare Advantage Prescription Drug HMO C-SNP serving Medicare beneficiaries with End-Stage Renal Disease.
Long Beach, CA

Quick Apply

Job Details

Full-time
From $29 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Healthcare claims management
Medical claims
Medicare
Customer service
Health insurance policy knowledge
ICD-9
Attention to detail
Problem-solving
Medical terminology

Full Job Description

The Senior Claims Examainer is responsible for reviewing and adjudicating complex Facility, ASC or specialty claims submitted via paper or electronically. This role involves advanced administrative, operational, and customer support duties that require independent initiative and judgment. The types of claims include inpatient, coordination of benefits (COB) for high-dollar cases, dialysis, oncology/chemotherapy, home health agency, skilled nursing facility (SNF), hospital exclusions, and claim adjustments. The Claims Examiner III also audits professional claims for accuracy.

Functions & Job Responsibilities

Determine whether to return, deny, or pay institutional claims following organizational policies and procedures.
Conduct end-to-end claims audits to ensure claims are processed accurately according to benefits assignment, applicable contracts, pricing, and configuration rules.
Ensure institutional claims meet compliance guidelines.
Perform claims testing on claims configuration and enhancements.
Focus decisions on methods, tactics, and processes for completing administrative tasks/projects.
Regularly exercise discretion and judgment in prioritizing requests, interpreting and adapting procedures, processes, and techniques, and work under limited guidance due to previous experience and breadth and depth of knowledge of administrative processes and organizational knowledge.
Adjudicate complex professional and institutional claims.
Assist with training and mentoring new team members.
Assist with testing new claim processing procedures or projects.
Meet performance measurement standards for productivity and accuracy.
Adjudicate claim adjustments.
Review and correct claims involving data integrity issues.
Interface with other Champion Payor Solutions Departments, when necessary, regarding claims issues.
Participate in Claims Department Team Meetings and other activities as needed.
Support all department initiatives in improving overall efficiency.
Identify and recommend solutions for error issues as they relate to the pre-payment of claims.
Oversee the reduction of defects by identifying error issues as they relate to pre-payment of claims through adjudication and recommending solutions to resolve these issues.
Manage a caseload of various types of complex claims. Procure all medical records and statements that support the claim.
Meet department quality and production standards.
Meet State and Federal regulatory Compliance Regulations on turnaround times and claims payment for multiple lines of business.
Perform other duties as assigned.

Qualifications

Education & Experience:

Associate degree or equivalent combination of experience in health insurance or related fields, which would provide the necessary knowledge, skills, and abilities to successfully perform the work.
Three or more (3 +) years of experience in examining and processing institutional claims for inpatient, dialysis, SNF, and home health using Medicare prices.
Two (2) years of experience in examining and processing medical claims, professional or institutional.
Experience with Medicare/Medi-Cal is preferred.
Experience with claim adjustments, provider appeals, and/or disputes is preferred.

Skills:

Advanced knowledge and skills in medical terminology, HCPCS/CPT, and ICD-9/ICD-10.
Knowledge of Centers for Medicare and Medicaid Services claims payment guidelines.
Strong analytical skills, including the ability to analyze and organize data.
Strong attention to detail.
Excellent organizational, oral presentation, and written and verbal communication skills.
Proficiency in MS Office products, including PowerPoint, Excel, and Word.
Ability to provide effective leadership and direction within an organization.
Meet and consistently maintain production standards for Claims Adjudication.

Job Type: Full-time

Pay: From $29.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

medical biller jobs in la palma ca

Claims Examiner III

Medical Claims Biller and Bookkeeper

Medicare Insurance Biller and AR Collections- Full Time, Irvine

Biller/Collector III

Government Biller-Collector Per Diem Day Shift

Collector- CBO Full Time Day Shift

Medical Biller

Biller - Full Time, Days (Bellflower)

Medical Biller

Insurance Biller - Government Programs FT Days

Billing Rep

Dental Office Front Desk/Biller

Medical Biller

Billing Clerk - Mental Health 109

Skilled Nursing Facility Medical Biller

Patient Account Rep - Credit & Collection FT Days

Medical Biller and Coder

Medical Biller/Coder

Biller IV - HB Patient Financial Services - FT Days

Long-Term Care Pharmacy Biller

I want to receive the latest job alert for medical biller in la palma ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected