Top 297 Medical biller Jobs in Los Alamitos, 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
8d
DENTICAL-BILLER / OFFICE BILLER
Dental Office —Tustin, CA
- $50,000 - $60,000 a year
- Email
- Dental office
- Mid-level
- Front desk
- Paid time off
- Employee discount
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
Medical Biller
Theresa Thanh Ngoc Nguyen, M.D., Inc. —Santa Ana, CA
- $22 - $25 an hour
- Part-time
- Hybrid work
- Customer service
- Medical office experience
- Mid-level
- Health insurance
- 401(k)
Quick Apply
12d
Medical Biller
Downey Physical Therapy Inc —Downey, CA
- $17 - $25 an hour
- Part-time
- Background check
- Spanish
- English
Quick Apply
7d
Medical Biller
Dynamic Repair Solutions —Santa Ana, CA
- Entry level
Medical Biller
Han Orthopaedics —Fullerton, CA
- $25 an hour
- Full-time
- No experience needed
- Research
- Mid-level
- Health insurance
- 401(k)
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
Medical Biller/Coder
A&C Medical Center —Anaheim, CA
- $21 - $29 an hour
- Part-time
- Spanish
- English
- Mid-level
Quick Apply
Dental Office Front Desk/Biller
Cerritos Dentistry —Cerritos, CA
- From $27 an hour
- Part-time
- Background check
- Dental office
- Mid-level
Quick Apply
1d
Billing Support Operations Manager (Remote)
Rula —Los Angeles, CA
- $99,000 - $114,950 a year
- Full-time
- Remote
- 5 years
- Experience equivalent to degree accepted
- Senior level
- Paid parental leave
- Health savings account
Medical Biller/Coder
A&C Urgent Care / A&C Medical Center —Anaheim, CA
- $25 - $28 an hour
- Full-time
- Background check
- Urgent Care
- Mid-level
Quick Apply
13d
Medical Billing Assistant
Greater Orange County Ear Nose Throat - Head & Neck Surgeons, Inc. —Fullerton, CA
- $22 - $23 an hour
- Part-time
- Private practice
- Customer service
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
Medical Biller/Collector
AUMC —Anaheim, CA
- $23 - $27 an hour
- Full-time
- Spanish
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Billing Representative
LAKEWOOD EYE PHYSICIANS & SURGEONS —Long Beach, CA
- $25 - $27 an hour
- Overtime
- Writing skills
- HIPAA
- Mid-level
Biller III - HB Patient Financial Services - FT Days
University of California, Irvine —Anaheim, CA
- $28.89 - $35.92 an hour
- Full-time
- Background check
- Spanish
- Customer service
- Health insurance
- Retirement plan
8d
HIM Specialty ROCC Coder - Health Information - FT Days
University of California, Irvine —Irvine, CA
- $48.04 - $63.41 an hour
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Customer service
- Health insurance
- Retirement plan
MEDICAL BILLER
Community Eye Center Optometry —Los Angeles, CA
- High school diploma or GED
- Entry level
Patient Account Specialist
College Medical Center —Long Beach, CA
- $23.13 - $27.98 an hour
- Full-time
- Microsoft Outlook
- Hospital
- Computer literacy
Quick Apply
Billing Rep
St Mary Medical Center —Long Beach, CA
- $25.66 - $30.50 an hour
- Full-time
- Anatomy knowledge
- Mid-level
- Associate's degree
23h

I want to receive the latest job alert for medical biller in los alamitos, 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 los alamitos, 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
8 days ago

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 los alamitos, ca

Claims Examiner III

DENTICAL-BILLER / OFFICE BILLER

Medical Biller

Medical Biller

Medical Biller

Medical Biller

Medical Biller

Government Biller-Collector Per Diem Day Shift

Medical Biller/Coder

Dental Office Front Desk/Biller

Billing Support Operations Manager (Remote)

Medical Biller/Coder

Medical Billing Assistant

Medical Biller/Collector

Billing Representative

Biller III - HB Patient Financial Services - FT Days

HIM Specialty ROCC Coder - Health Information - FT Days

MEDICAL BILLER

Patient Account Specialist

Billing Rep

I want to receive the latest job alert for medical biller in los alamitos, ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected