Top 247 Medical billing specialist Jobs in Orange, Ca

Claims Examiner I
Clever Care Health Plan —Huntington Beach, CA
- $27 - $32 an hour
- Full-time
- Hybrid work
- Background check
- Writing skills
- Office
8d
Medical Coder and Biller
Quanitx Health —Ontario, CA
- $50,000 - $65,000 a year
- Contract
- HIPAA
- Mid-level
- In-person
Quick Apply
10d
Medical Biller
Dynamic Repair Solutions —Santa Ana, CA
- Entry level
Medical Collector - PB Financial Services - FT Days
University of California, Irvine —Anaheim, CA
- $26.58 - $37.75 an hour
- Full-time
- Background check
- Customer service
- English
- Health insurance
- Retirement plan
Patient Account Specialist I
KPC GLOBAL MEDICAL CENTERS INC. —Santa Ana, CA
- $25.75 - $32.19 an hour
- Full-time
- English
- Mid-level
- High school diploma or GED
Quick Apply
Billing Representative
Whole Person Care Clinic —Santa Ana, CA
- $25 - $27 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
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
HIM Specialty ROCC Coder - Health Information - FT Days
University of California, Irvine —Irvine, CA
- $50.94 - $67.25 an hour
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Customer service
- Health insurance
- Retirement plan
HCC Coders
AE & Associates —Corona, CA
- Part-time
- Mid-level
- 1 year
- Travel reimbursement
- Continuing education credits
Insurance Collections and AR Agent
Infusion Health —Irvine, CA
- $34 an hour
- Full-time
- HIPAA
- Mid-level
- Computer skills
- Health insurance
- Paid time off
Quick Apply
Associate Collector
Byram Healthcare Centers Inc —Anaheim, CA
- $24 - $26 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Medical terminology
- Paid parental leave
- Disability insurance
Quick Apply
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
Account Analyst
United WestLabs —Santa Ana, CA
- $26 - $33 an hour
- Full-time
- Research
- Mid-level
- Office
Quick Apply
Reimbursement Specialist
BMR Partners —Orange, CA
- $26 - $30 an hour
- Overtime
- Mid-level
- Office
- High school diploma or GED
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
Skilled Nursing Facility Medical Biller
Reliant Management —Anaheim, CA
- Full-time
- Skilled nursing facility
- Research
- Mid-level
Quick Apply
Account Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union)
Keck Medical Center of USC —Walnut, CA
- $26.00 - $41.28 an hour
- 8 hour shift
- Background check
- Customer service
- Research
Patient Account Specialist III - Santa Ana, CA
KPC GLOBAL MEDICAL CENTERS INC. —Santa Ana, CA
- $31.75 - $38.19 an hour
- Per diem
- Mid-level
- Team management
Quick Apply
Claims Receivables and Recovery Specialist
WESTERN GROWERS GROUP —Irvine, CA
- $46,669.19 - $60,668.60 a year
- Full-time
- Remote
- Writing skills
- HIPAA
- Research
- Dental insurance
Quick Apply
Biller III - HB Patient Financial Services - FT Days
University of California, Irvine —Anaheim, CA
- $30.63 - $38.10 an hour
- Full-time
- Background check
- Spanish
- Customer service
- Health insurance
- Retirement plan

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medical billing specialist jobs near orange, ca

Claims Examiner I

Clever Care Health Plan -
Huntington Beach, CA

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Job Details

Full-time
$27 - $32 an hour
8 days ago

Qualifications

Associate's degree

Full Job Description

This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County.

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? ✨

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.

Why Join Us?

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Job Summary

Under close supervision, Claims Examiner I process non-complex paper or electronic claims, handling from inception to conclusion within established authority and guidelines.

This position requires considerable interaction with clients, claimants on the phone, with management, other Claims Examiners, and other staff in the office; therefore, consistently being at work in the office or home office location as applicable, in a timely manner, is inherently required of this position.

Functions & Job Responsibilities

Be familiar and comply with all company policies and procedures.
Effectively manages a caseload of 50-150 claims a day
Initiates and conducts claim investigation in a timely manner.
Achieve claims processing standards for accurate and timely claims adjudication.
Maintain claims processing standards to meet performance appraisal goals.
Determines compensability of claims and administer benefits, based upon product benefits and CMS guidelines.
Manages medical treatment and medical billing, authorizing as appropriate, with requests for surgical treatment to be referred to supervisor prior to authorizing.
Communicates with provider regarding claims issues
Computes and processes payment.
Finalizes all claims and obtains authority as designated.
Maintains documentation in file to reflect the status of and work being performed on the file.
Communicates appropriate information promptly to the client to resolve claims efficiently.
Involves supervisory staff when appropriate.
Adheres to all Company policies and procedures.
Participates in audits and file reviews, as needed.
Performs other duties as assigned to include but not limited to assisting Document Processing Associate.
Other duties as assigned, mailroom tasks.

Qualifications

Education & Experience:

Associate degree. Bachelor’s degree in related field preferred
One (1) year related experience; or equivalent combination of education and experience.

Skills:

Technical knowledge of statutory regulations and medical terminology.
Familiar with CMS claims payment, billing guidance.
Knowledge of CPT, HCPCS and ICD-10 diagnosis codes.
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

Wage Range: $27.00 to $32.00 per hour

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.

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Refine Your Search

medical billing specialist jobs in orange, ca

Claims Examiner I

Medical Coder and Biller

Medical Biller

Medical Collector - PB Financial Services - FT Days

Patient Account Specialist I

Billing Representative

Biller IV - HB Patient Financial Services - FT Days

HIM Specialty ROCC Coder - Health Information - FT Days

HCC Coders

Insurance Collections and AR Agent

Associate Collector

Government Biller-Collector Per Diem Day Shift

Account Analyst

Reimbursement Specialist

Biller - Full Time, Days (Bellflower)

Skilled Nursing Facility Medical Biller

Account Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union)

Patient Account Specialist III - Santa Ana, CA

Claims Receivables and Recovery Specialist

Biller III - HB Patient Financial Services - FT Days

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