Top 83 Revenue cycle specialist Jobs in S Pasadena Ca

Revenue Cycle Home Infusion Collections Specialist (CPR+ Software Experience Required)
Apex Infusion Pharmacy —Signal Hill, CA
- $25 - $30 an hour
- Full-time
- Microsoft Outlook
- HIPAA
- Research
- Health savings account
- Paid holidays
Quick Apply
CalAIM Billing & Accounts Receivable (AR) Specialist
Libertana —Sherman Oaks, CA
- $27 - $29 an hour
- Full-time
- Mid-level
- 3 years
- Organizational skills
Quick Apply
Medical Billing Specialist
Certified Healthcare Billing —Sunland, CA
- $21 - $28 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Health insurance
- 401(k)
Quick Apply
3d
Revenue Cycle Specialist - AI Trainer
DataAnnotation —Los Angeles, CA
- $50 - $100 an hour
- Part-time
- Remote
- English
- Mid-level
- Master's degree
Quick Apply
Ambulance Billing Specialist
West Coast Ambulance —Burbank, CA
- $20 - $23 an hour
- Weekends only
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Revenue Cycle Specialist I (Cash Management)
Cedars-Sinai —Los Angeles, CA
- $25.00 - $32.61 an hour
- 8 hour shift
- High school diploma or GED
- Fair chance
- Associate's degree
- Health insurance
- Paid time off
Revenue Cycle Specialist III (Orthopedics)
Cedars-Sinai —Los Angeles, CA
- $25.57 - $39.63 an hour
- 8 hour shift
- Hospital
- Research
- Finance
- Paid time off
- 403(b)
Revenue Cycle Specialist II (Commercial Collections)
Cedars-Sinai —Los Angeles, CA
- $25.00 - $35.94 an hour
- 8 hour shift
- Customer service
- Computer literacy
- Basic math
- Health insurance
- Dental insurance
Revenue Cycle Specialist III (Gastroenterology)
Cedars-Sinai —Los Angeles, CA
- $25.57 - $39.63 an hour
- 8 hour shift
- Research
- Finance
- High school diploma or GED
- Health insurance
- Dental insurance
Lung Transplant Financial Services Specialist
Cedars-Sinai —Los Angeles, CA
- $29.60 - $45.88 an hour
- 8 hour shift
- Computer science
- Computer Science
- Hospital
- Health insurance
- 403(b)
4d
Revenue Cycle Specialist II (Physician Billing)
Cedars-Sinai —Los Angeles, CA
- $25.00 - $35.94 an hour
- 8 hour shift
- Basic math
- HIPAA
- English
- Health insurance
- Dental insurance
Cash Posting & Credit Balance Supervisor - Hospital PFS - Revenue Cycle
Guidehouse Managed Services LLC —El Segundo, CA
- $74,000 - $124,000 a year
- Full-time
- Hybrid work
- 7 years
- Word processing
- Mid-level
- Health savings account
- Paid holidays
Revenue Cycle Specialist
BEHAVIORAL HEALTH SERVICES INC —Gardena, CA
- $25 - $30 an hour
- Full-time
- Writing skills
- HIPAA
- Research
Quick Apply
Fin Care Specialist I (Customer Service)
Cedars-Sinai —Los Angeles, CA
- $25.57 - $39.63 an hour
- 8 hour shift
- High school diploma or GED
- Fair chance
- Business Administration
- Health insurance
- Dental insurance
Revenue Cycle Analyst Exempt
Hollywood Presbyterian —Los Angeles, CA
- $75,000 - $85,000 a year
- 8 hour shift
- Acute care
- Mid-level
- 3 years
Quick Apply
Patient Services Specialist and Senior Patient Services Specialist - Santa Monica
Providence —Los Angeles, CA
- $24.00 - $35.77 an hour
- Multiple hires
- Mid-level
- Office
- Continuous improvement
- Paid parental leave
- Paid holidays
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
Quick Apply
Legal Billing Specialist
Kahana & Feld LLP —Los Angeles, CA
- $34 - $37 an hour
- Weekends as needed
- Hybrid work
- Microsoft Outlook
- Research
- Mid-level
Quick Apply
Ambulance Billing Specialist
MTI Ambulance —Los Angeles, CA
- $35 - $42 an hour
- Full-time
- Mid-level
- Organizational skills
- 2 years
Quick Apply
4h
Sr. Contract Variance Specialist - Business Office - Full Time - Days - 8hr Glendora, California
Emanate Health —Glendora, CA
- $32.00 - $48.87 an hour
- 8 hour shift
- Customer service
- Office
- High school diploma or GED

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Revenue Cycle Home Infusion Collections Specialist (CPR+ Software Experience Required)

Apex Infusion Pharmacy
Signal Hill, CA

Quick Apply

Job Details

Full-time
$25 - $30 an hour

Benefits

Health savings account
Paid holidays
Health insurance
Paid time off
Parental leave
401(k) matching
Opportunities for advancement
Flexible schedule
Referral program
Retirement plan

Qualifications

Revenue cycle management
Appeals
Accounts receivable
Microsoft Outlook
Medicare
Managed care
Accounts receivable management
Medical software
Spreadsheets
Research
IV infusion
Medicaid health insurance
ICD-10
HCPCS
Medicare regulations
Medical billing
Medical insurance appeals management
Organizational skills
Medicaid regulations
Medicaid
Insurance claims appeal handling
Aging report preparation
Medical terminology
Medical debt collection accounts

Full Job Description

Home Infusion Medical Collections Specialist (CPR+ Experience Required)

Salary: Competitive, based on experience

About Us

We are a growing home infusion pharmacy dedicated to providing exceptional patient care while maintaining the highest standards of billing accuracy and reimbursement. We are seeking an experienced, detail-oriented Medical Collections Specialist with home infusion billing and CPR+ software experience to join our Revenue Cycle team.

Position Summary

The Medical Collections Specialist is responsible for managing and resolving outstanding insurance claims, following up with commercial, Medicare, and Medicaid payers, appealing denied claims, and ensuring timely reimbursement. The ideal candidate has a strong understanding of home infusion reimbursement and can work independently in a fast-paced environment.

Essential Responsibilities

Follow up on outstanding insurance claims to ensure prompt payment.
Investigate and resolve claim denials, rejections, and underpayments.
Prepare and submit first- and second-level appeals.
Work directly with insurance companies to resolve claim issues.
Review Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and payer correspondence.
Identify billing errors and coordinate corrections with the billing team.
Maintain accurate documentation of all collection activities within CPR+.
Monitor aging reports and prioritize accounts for follow-up.
Meet departmental productivity and collection goals.
Maintain compliance with HIPAA and all applicable payer regulations.
Collect outstanding insurance balances for home infusion and specialty pharmacy claims.
Follow up with Medicare, Medicaid, and commercial insurance carriers regarding unpaid, denied, and underpaid claims.
Analyze EOBs, ERAs, payer correspondence, and denial reasons.
Prepare and submit first-level, second-level, and external appeals.
Resolve authorization, medical necessity, coding, coordination of benefits, and timely filing issues.
Research payer policies and identify opportunities for additional reimbursement.
Work closely with billing, intake, authorization, pharmacy, and clinical staff to resolve claim issues efficiently.
Maintain complete documentation of all collection activities in CPR+.
Prioritize aged accounts to maximize cash collections.
Meet or exceed monthly productivity and collection goals while maintaining quality standards.
Ensure compliance with HIPAA, Medicare, Medicaid, and payer guidelines.

Required Qualifications

Minimum of 2 years of medical collections experience in a home infusion pharmacy or specialty pharmacy.
Hands-on experience with CPR+ software is required.
Strong knowledge of Medicare, Medicaid, and commercial insurance reimbursement.
Experience appealing denied claims and resolving complex billing issues.
Knowledge of HCPCS, CPT, ICD-10, modifiers, and medical necessity requirements.
Excellent communication, organization, and problem-solving skills.
Ability to manage multiple priorities while meeting deadlines.
Proficiency with Microsoft Office applications, particularly Excel and Outlook.

Preferred Qualifications

CPR+ experience is required. Home infusion pharmacy experience is strongly preferred.
Experience with Waystar or other medical claims clearinghouses.
Knowledge of infusion therapy billing and reimbursement.
Familiarity with payer portals and electronic claim status systems

Candidates with experience collecting claims for the following therapies are highly encouraged to apply:

IVIG
Biologic therapies
Autoimmune disease infusions
Neurology infusions
Rheumatology infusions
Gastroenterology infusions
Oncology supportive care
Specialty injectable medications

What We Offer

Competitive salary (based on experience)
Paid Time Off (PTO)
Paid Holidays
Health Insurance
401(k) with company match
Opportunities for professional growth and advancement
Supportive, team-oriented work environment

Schedule

Full-time
Monday through Friday
Day Shift

Work Location

On-site

If you are an experienced medical collections professional with CPR+ home infusion experience and are passionate about maximizing reimbursement while supporting quality patient care, we encourage you to apply.

Job Type: Full-time

Pay: $25.00 - $30.00 per hour

Expected hours: 40.0 per week

Benefits:

401(k) matching
Flexible schedule
Health insurance
Health savings account
Paid time off
Parental leave
Referral program
Retirement plan

Experience:

Infusion Pharmacy and CPR + Software: 2 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

revenue cycle specialist jobs in s pasadena ca

Revenue Cycle Home Infusion Collections Specialist (CPR+ Software Experience Required)

CalAIM Billing & Accounts Receivable (AR) Specialist

Medical Billing Specialist

Revenue Cycle Specialist - AI Trainer

Ambulance Billing Specialist

Revenue Cycle Specialist I (Cash Management)

Revenue Cycle Specialist III (Orthopedics)

Revenue Cycle Specialist II (Commercial Collections)

Revenue Cycle Specialist III (Gastroenterology)

Lung Transplant Financial Services Specialist

Revenue Cycle Specialist II (Physician Billing)

Cash Posting & Credit Balance Supervisor - Hospital PFS - Revenue Cycle

Revenue Cycle Specialist

Fin Care Specialist I (Customer Service)

Revenue Cycle Analyst Exempt

Patient Services Specialist and Senior Patient Services Specialist - Santa Monica

MEDICARE SPECIALIST (Medicare Billing)

Legal Billing Specialist

Ambulance Billing Specialist

Sr. Contract Variance Specialist - Business Office - Full Time - Days - 8hr Glendora, California

I want to receive the latest job alert for revenue cycle specialist in s pasadena ca

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