Top 321 Medical biller Jobs in Stanton, 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
ROP/CTE Medical Billing & Coding Teacher (OC PROBATION)
COASTLINE ROP —Costa Mesa, CA
- $36.43 - $63.14 an hour
- Part-time
- Background check
- Classroom
- Teaching Certification
- Paid time off
- Employee assistance program
Dental Biller (Experience ONLY)
Dental office —La Mirada, CA
- $20 - $24 an hour
- Full-time
- Spanish
- Dental office
- English
- Paid holidays
- Health insurance
Quick Apply
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
Healthcare AR/ Collections Specialist - Bilingual Spanish
MedRevenu Inc. —California
- $20 - $25 an hour
- Urgently hiring
- Spanish
- Mid-level
- Conflict management
- Health insurance
- Dental insurance
Quick Apply
Medical Biller
Dynamic Repair Solutions —Santa Ana, CA
- Entry level
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
Skilled Nursing Facility Medical Biller
Reliant Management —Anaheim, CA
- Full-time
- Skilled nursing facility
- Research
- Mid-level
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
1d
Biller - Full Time, Days (Bellflower)
NOR Healthcare Systems —Bellflower, CA
- $22.20 - $30.50 an hour
- Full-time
- Customer service
- Computer literacy
- HIPAA
Collector- CBO Full Time Day Shift
Avanti Hospitals —Cerritos, CA
- $24.93 - $36.66 an hour
- Full-time
- HIPAA
- Mid-level
- Organizational skills
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
Han Orthopaedics —Fullerton, CA
- $25 an hour
- Full-time
- No experience needed
- Research
- Mid-level
- Health insurance
- 401(k)
Quick Apply
10d
Laboratory Billing Specialist
Diagnostic Laboratory Science —Garden Grove, CA
- $21 - $23 an hour
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
4d
Billing Rep
St Mary Medical Center —Long Beach, CA
- $25.66 - $30.50 an hour
- Full-time
- Anatomy knowledge
- Mid-level
- Associate's degree
9d
Refund Representative - Santa Ana, CA ONSITE
KPC GLOBAL MEDICAL CENTERS INC. —Santa Ana, CA
- $23.25 - $37.70 an hour
- Full-time
- Mid-level
- Office
- In-person
Quick Apply
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
Dental Office Front Desk/Biller
Cerritos Dentistry —Cerritos, CA
- From $27 an hour
- Part-time
- Background check
- Dental office
- Mid-level
Quick Apply
10d
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
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

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medical biller jobs near stanton, 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 stanton, ca

Claims Examiner III

ROP/CTE Medical Billing & Coding Teacher (OC PROBATION)

Dental Biller (Experience ONLY)

Home Infusion Collections Specialist (CPR+ Software Experience Required)

Healthcare AR/ Collections Specialist - Bilingual Spanish

Medical Biller

Government Biller-Collector Per Diem Day Shift

Skilled Nursing Facility Medical Biller

Billing Support Specialist (Remote)

Biller - Full Time, Days (Bellflower)

Collector- CBO Full Time Day Shift

Medical Biller

Medical Biller

Laboratory Billing Specialist

Billing Rep

Refund Representative - Santa Ana, CA ONSITE

Medical Biller/Coder

Dental Office Front Desk/Biller

Medical Collector - PB Financial Services - FT Days

Medical Biller

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