Top 334 Medical biller Jobs in South El Monte, 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
Managed Care Collector
Ethos Management (Servicing AHMC Hospitals) —Alhambra, CA
- $24 - $27 an hour
- Full-time
- Microsoft Excel
- HIPAA
- In-person
- Health insurance
- Dental insurance
Quick Apply
Medicare Hospital Biller
Ethos Management (Servicing AHMC Hospitals) —Alhambra, CA
- $23 - $26 an hour
- 8 hour shift
- Microsoft Excel
- HIPAA
- Office
- Health insurance
- Dental insurance
Quick Apply
Medical Biller
Beverly Hills Fertility —Los Angeles, CA
- $25 - $30 an hour
- Full-time
- HIPAA
- Mid-level
- In-person
- 401(k) matching
- Employee discount
Quick Apply
Medical Coder and Biller
Quanitx Health —Ontario, CA
- $50,000 - $65,000 a year
- Contract
- HIPAA
- Mid-level
- In-person
Quick Apply
8d
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
3d
Patient Biller 3
UCLA Health —Los Angeles, CA
- $30.79 - $40.60 an hour
- Microsoft Excel
- Medical office experience
- Mid-level
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 Billing Customer Representative
UCLA Health —Los Angeles, CA
- $30.79 - $40.60 an hour
- Mid-level
- 2 years
- Communication skills
SNF Biller
NewGen Administrative Services —Montebello, CA
- $35 - $45 an hour
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
MEDICAL BILLER
Community Eye Center Optometry —Los Angeles, CA
- High school diploma or GED
- Entry level
Sr. EAP Operations Associate (Remote)
Rula —Los Angeles, CA
- $74,000 - $84,550 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Communication skills
- Paid parental leave
- Health savings account
Medical Biller
Outsource Medical Billing —Alhambra, CA
- $17 - $22 an hour
- Part-time
- High school
- Computer literacy
- No experience needed
- Flexible schedule
Quick Apply
Billing Support Specialist (Remote)
Rula —Los Angeles, CA
- $51,000 - $57,000 a year
- Full-time
- Remote
- Mid-level
- 1 year
- Leadership
- Paid parental leave
- Health savings account
4h
Facility Outpatient Surgical and Claims Edit Auditor (Remote)
Cedars-Sinai —Los Angeles, CA
- $45.89 - $73.42 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- 3 years
- Dental insurance
- 403(b)
Medical Biller
Dynamic Repair Solutions —Santa Ana, CA
- Entry level
Professional Billing Charge Capture
Optum —Los Angeles, CA
- $24 - $43 an hour
- Full-time
- Remote
- Anatomy knowledge
- Pass drug screening
- Mid-level
Collector
City of Hope —Irwindale, CA
- $22.07 - $31.11 an hour
- Full-time
- 5 years
- Mid-level
- High school diploma or GED
Dental Biller and receptionist
private dental clinic —West Covina, CA
- $20 - $27 an hour
- Part-time
- Dental office
- Organizational skills
- In-person
- Paid time off
- Vision insurance
Quick Apply
10d
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

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medical biller jobs near south el monte, 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 south el monte, ca

Claims Examiner III

Managed Care Collector

Medicare Hospital Biller

Medical Biller

Medical Coder and Biller

Medical Biller and Coder

Patient Biller 3

Billing Support Operations Manager (Remote)

Medical Billing Customer Representative

SNF Biller

MEDICAL BILLER

Sr. EAP Operations Associate (Remote)

Medical Biller

Billing Support Specialist (Remote)

Facility Outpatient Surgical and Claims Edit Auditor (Remote)

Medical Biller

Professional Billing Charge Capture

Collector

Dental Biller and receptionist

Revenue Cycle Specialist I (Cash Management)

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