Top 271 Medical biller Jobs in Wilmington, Ca

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
6d
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
8d
Hospital Collector
Insight Global —Torrance, CA
- $25 - $27 an hour
- 8 hour shift
- Background check
- Hospital
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7d
Medical Biller
The One Health Group —Whittier, CA
- $21 - $25 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
Quick Apply
Medical Collections Specialist
Marquee Staffing Inc —Newport Beach, CA
- Monday to Friday
- Mid-level
- Office
- 3 years
- Paid holidays
- Health insurance
Quick Apply
Insurance Biller - Government Programs FT Days
Torrance Memorial Medical Center —Torrance, CA
- $25.00 - $33.44 an hour
- Full-time
- Medical office experience
- Mid-level
- 1 year
Quick Apply
2d
Medical Billing Customer Representative
UCLA Health —Los Angeles, CA
- $30.79 - $40.60 an hour
- Mid-level
- 2 years
- Communication skills
8d
Insurance Verification Clerk
Pacific Endo Surgical Center (11810) —Torrance, CA
- Full-time
- Computer skills
- Entry level
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
Patient Biller 3
UCLA Health —Los Angeles, CA
- $30.79 - $40.60 an hour
- Microsoft Excel
- Medical office experience
- Mid-level
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
Billing Rep
St Mary Medical Center —Long Beach, CA
- $25.66 - $30.50 an hour
- Full-time
- Anatomy knowledge
- Mid-level
- Associate's degree
1d
Patient Account Rep - Credit & Collection FT Days
Torrance Memorial Medical Center —Torrance, CA
- $24.00 - $34.02 an hour
- Full-time
- Medical office experience
- Mid-level
- Data entry
Quick Apply
Medical Biller
Los Palos Post-Acute Care Center —San Pedro, CA
- Full-time
- Research
- Mid-level
- Leadership
- Disability insurance
- Health insurance
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
Medi-Cal Collections Representative
UCLA Health —Los Angeles, CA
- $27.65 - $39.27 an hour
- Mid-level
- 3 years
- High school diploma or GED
Medical Biller
Downey Physical Therapy Inc —Downey, CA
- $17 - $25 an hour
- Part-time
- Background check
- Spanish
- English
Quick Apply
7d
Patient Account Specialist
College Medical Center —Long Beach, CA
- $23.13 - $27.98 an hour
- Full-time
- Microsoft Outlook
- Hospital
- Computer literacy
Quick Apply
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
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

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medical biller jobs near wilmington, ca

Home Infusion Collections Specialist (CPR+ Software Experience Required)

Apex Infusion Pharmacy
Signal Hill, CA

Quick Apply

Job Details

Full-time
$25 - $30 an hour
6 days ago

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

Appeals
Collections agent experience
Teamwork
Microsoft Outlook
Medicare
Medical software
Spreadsheets
HIPAA
Research
High school diploma or GED
Medicaid health insurance
ICD-10
HCPCS
Medicare regulations
Attention to detail
Medical insurance appeals management
Organizational skills
Medicaid regulations
Medicaid
Medical Billing & Coding
Insurance claims appeal handling
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

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

medical biller jobs in wilmington, ca

Home Infusion Collections Specialist (CPR+ Software Experience Required)

Claims Examiner III

Hospital Collector

Medical Biller

Medical Collections Specialist

Insurance Biller - Government Programs FT Days

Medical Billing Customer Representative

Insurance Verification Clerk

Medical Biller

Patient Biller 3

Revenue Cycle Specialist I (Cash Management)

Billing Rep

Patient Account Rep - Credit & Collection FT Days

Medical Biller

Biller - Full Time, Days (Bellflower)

Medi-Cal Collections Representative

Medical Biller

Patient Account Specialist

Sr. EAP Operations Associate (Remote)

Revenue Cycle Specialist II (Commercial Collections)

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