Top 6 Revenue cycle specialist Jobs in Mission Ca

MEDICARE SPECIALIST (Medicare Billing)
Stance Health Solutions, Inc —La Crescenta, CA
- $23.67 - $29.77 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Medical terminology
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Ambulance Billing Specialist
West Coast Ambulance —Burbank, CA
- $20 - $23 an hour
- Weekends only
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
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Billing Specialist
West Coast Ambulance —Burbank, CA
- $20 - $23 an hour
- Full-time
- Microsoft Office
- High school diploma or GED
- Communication skills
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Sr. Manager, Field Reimbursement
SetPoint Medical —Valencia, CA
- Hybrid work
- Customer service
- HIPAA
- Office

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Accounts Receivable Director for Skilled Nursing Facility
Betenu Health —Pasadena, CA
This role ensures timely billing, collections, and reimbursement from Medicare, Medicaid, Managed Care, and Private Pay sources while maintaining compliance…
$170,000 - $190,000 a year
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Accounts Receivable Clerk/ payroll
QMP Inc —Valencia, CA
Making collection calls on outstanding accounts. Treasury bank deposits, manual wire payments, and credit card transactions. 2 years of prior experience.
$30 - $33 an hour
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Medical AR Specialist
Columbus Oncology & Hematology —Dublin, OH
Identify, review, research, and resolve credit balances ensuring the correct disposition of funds. Proven experience in submitting tiered appeals using precise…
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Billing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A high school diploma or GED is required, a bachelor's degree, is preferred. The Billing Specialist is responsible for processing client billing and supporting…
$23.85 - $28.02 an hour
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MEDICARE SPECIALIST (Medicare Billing)

Stance Health Solutions, Inc
La Crescenta, CA

Quick Apply

Job Details

Full-time
$23.67 - $29.77 an hour

Qualifications

Appeals
Insurance products customer support
Patient question and concern management
Medicare
Phone communication
Medical insurance coverage verification
Standard Operating Procedures (SOPs) implementation
CMS
Regulatory compliance in claims processing
Health insurance customer support
HIPAA
Process improvement
Healthcare documentation compliance audits
Patient complaint handling
Mid-level
Financial issue resolution
CMS regulatory compliance
Payment Processing Systems
Medicare regulations
Task prioritization
Policy verification in claims processing
Clinical documentation
Medical insurance appeals management
Document review
Customer issue escalation
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical explanation of benefits reviews
Medical claims submission
Insurance provider collaboration
Billing issue inquiries

Full Job Description

Position Overview

This position collaborates with global and domestic cross-functional teams (order to cash), including Intake, Customer Care, and Billing, to resolve patient questions, concerns, and issues related to Medicare coverage, claims, denials, and patient responsibility. Responsibilities include inbound and outbound calls, insurance verification & payer change, invoice review, appeals and denial resolution, payment processing, and interpretation of claims and EOBs, all within a compliant, audit-ready framework.

This position operates in a call queue environment and serves as the primary point of contact for inbound patient billing inquiries within the Revenue Cycle Management (RCM) team, with a strong focus on Medicare-related billing, eligibility, and claims resolution. The role is responsible for delivering a high level of patient support while ensuring compliance with Medicare guidelines, CMS requirements, and DMEPOS billing standards.

Key Responsibilities

Handle high-volume inbound and outbound calls related to Medicare billing statements, coverage, payment plans, and coordination of benefits (COB)
Accurately document all patient interactions, including inquiries, complaints, and resolutions, ensuring compliance with Medicare and internal documentation standards
Interpret EOBs and explain Medicare patient responsibility, coverage limitations, and claim outcomes
Verify insurance eligibility, benefits, and coverage through payer portals, with a focus on Medicare qualification and active coverage
Review and recalculate invoices as needed to ensure alignment with Medicare billing rules and reimbursement guidelines
Manage and resolve denials and appeals, ensuring proper documentation and adherence to Medicare requirements for medical necessity and claims processing including Medicare audits.
Request and validate clinical documentation, prescriptions, and supporting records required to meet Medicare medical necessity standards
Identify and document compliance or non-compliance with treatment requirements, as applicable to Medicare coverage criteria
Coordinate with internal teams to ensure claims are clean, accurate, and ready for submission or resubmission
Respond to patient communications across multiple channels, including phone, email, portal, and fax
Route complex issues to appropriate teams while maintaining ownership of resolution
Ensure adherence to HIPAA, confidentiality, and Medicare compliance requirements at all times
Follow up on open tasks, worklists, and outstanding issues in a timely manner
Support equipment recovery processes when treatment ends or Medicare benefits terminate
Maintain knowledge of Medicare billing, reimbursement guidelines, and DMEPOS requirements
Identify trends and escalate training or process improvement opportunities
Perform other duties and special projects as assigned
Developing standard operating procedures for Medicare Order-to Cash.

Qualifications

Minimum of 2 years of customer service experience, preferably in a role emphasizing ownership of the customer or patient financial experience
Minimum of 2 year of experience in healthcare, with extensive expertise to Medicare billing, RCM, or DMEPOS environments preferred
Understanding of healthcare terminology, with working knowledge of Medicare claims, EOBs, and patient responsibility
Strong customer service, problem-solving, and critical thinking skills, with the ability to navigate Medicare-related billing and coverage questions
Ability to manage high-volume inbound calls and communications while maintaining accuracy and compliance
Strong verbal and written communication skills, with the ability to explain Medicare billing, coverage, and denials in a clear and professional manner
High attention to detail, with the ability to identify and correct errors related to claims, documentation, and billing accuracy
Ability to multitask, prioritize, and follow through in a fast-paced, metrics-driven environment
Self-starter with the ability to work independently and collaboratively across teams
Flexible and adaptable to changing business needs, particularly in a growing Medicare-focused operation
Proficiency in billing systems and Microsoft Office 365; experience with Brightree or similar DME billing platforms preferred

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revenue cycle specialist jobs in mission ca

MEDICARE SPECIALIST (Medicare Billing)

Ambulance Billing Specialist

Billing Specialist

Sr. Manager, Field Reimbursement

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