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Job Description Business Office Manager Position Overview The Business Office Manager (BOM) is responsible for overseeing all financial and business office operations of Chalet Subacute, ensuring accurate recording of facility revenue, timely billing, collection of payments, and compliance with federal and state regulations. This position requires in-depth knowledge of skilled nursing facility (SNF) operations, billing procedures, and healthcare reimbursement regulations. The BOM serves as a key leader in the facility, working closely with the Administrator, clinical leadership, admissions, and other department heads to ensure financial and operational efficiency. Essential Duties and Responsibilities Financial and Billing Operations • Manage and oversee all business office functions, including Census Management, Cash Management, Billing and Accounts Receivable Management, Collections Management, Refunds and Adjustments, and Trust Fund Management., • Ensure daily census balances and daily cash deposits reconcile with bank statements., • Perform accurate and timely posting of charges, payments, and adjustments., • Monitor account receivable aging reports, develop and implement strategies to meet collection metrics, and address delinquent accounts., • Coordinate routine accounts receivable meetings with the Administrator and business office staff., • Complete month-end close accurately and on schedule, including the “Triple Check” review for billing compliance., • Reconcile resident trust accounts monthly and ensure proper petty cash management. Compliance and Regulatory Oversight • Ensure compliance with federal and state regulations, including Medicare, Medicaid, Managed Care, and private payor billing requirements., • Maintain adherence to HIPAA confidentiality standards., • Participate in quality management initiatives, identifying opportunities for operational improvements., • Support compliance and audit requests from corporate and governmental agencies. Team Leadership and Development • Supervise business office staff, including Accounts Payable, Payroll, and Reception personnel., • Train, monitor, and support staff to ensure accurate, timely, and compliant operations., • Foster a positive work environment and maintain strong professional relationships across all departments. Collaboration • Partner with Admissions to educate residents and responsible parties regarding insurance and personal liability., • Collaborate with clinical and operational leadership to support financial and operational goals. Safety and Workplace Standards • Ensure adherence to OSHA and workplace safety standards., • Maintain a safe, clean, and organized work environment. Other Duties • High School diploma or GED required; Associate’s or Bachelor’s degree in Accounting, Finance, or Healthcare Administration preferred., • Minimum 2 years’ experience as a Business Office Manager or Assistant BOM in a Skilled Nursing Facility or long-term care setting / Ideally Subacute Setting., • Proven experience with Medicare, Medicaid, Managed Care, HMO billing, and private payors., • Knowledge of SNF reimbursement regulations, accounting principles, and cost reporting standards. Skills and Competencies • Strong leadership, planning, and organizational skills., • Ability to interpret financial records, analyze accounts, and resolve discrepancies., • Excellent verbal and written communication skills., • Ability to work collaboratively across departments and with external agencies., • Critical thinking and problem-solving skills for financial and operational decision-making., • Proficiency with Microsoft Office Suite and accounting software; experience with SNF billing systems preferred. Certifications/Licensure • Work is performed in a skilled nursing facility office environment., • Full-time, in-person role., • Competitive compensation and potential for quarterly performance-based bonus., • Health benefits for full-time employees starting the 1st of the month following hire. The Business Office Manager is expected to uphold these values in financial and administrative operations, ensuring both the business and clinical teams can deliver the highest quality of care. Shift: Day Shift Hours: Exempt Weekly Hours: 40 Type/Status: Full-Time FTE: 1.0 S

Job Description SUMMARY The primary responsibility of the Charge Capture Coordinator is to monitor clinical activities related to billing compliance. This position acts as a liaison between the facility and the Centralized Business Office. This position must have the ability to work effectively with payers, patients, clinicians, Health Information Management, and other employees. REQUIREMENTS RESPONSIBILITIES AND DUTIES: • Performs clinical reviews of medical records and associated billing to identify potential billing inaccuracies, • Works closely with clinical departments to improve charging related workflow, • Coordinates charge reviews for retrospective or concurrent, corporate special projects, and other billing reviews as identified, • Adheres to corporate procedures for additions, deletions, and other changes to the charge master to ensure accuracy, • Works with other parts of the organization (clinical, materials management) in an effort to maintain departmental CDMs, • Follows established and departmental policies, procedures, objectives, the workplace Code of Conduct. Practices a high level of integrity and honesty in maintaining confidentiality • Ensures all implant charges are submitted within 24-48 hours of service date using the mark up and charging methodology in place, • Coordinates the timely purchase order processing and ensures that the agreed upon purchase order amount matches the actual purchase order and invoice received from vendors • Act as a backup for OR Charge Coordination and assists with back up log for charge posting, • Assist with ad-hoc finance operations and revenue cycle projects, • Performs other duties as assigned EDUCATION & EXPERIENCE REQUIREMENTS: • Minimum 2 years of experience with charge capture auditing, clinical documentation integrity or similar role for a complex acute care institution preferred ABILITIES REQUIREMENTS: • Broad knowledge of health care and/or hospital business office practices and principles, • Knowledge and understanding of state and federal rules and regulations related to Medicare and MediCal, • Must possess proficient computer skills, Microsoft Word, and Excel, • Strong verbal and written communication skills, • Strong customer service skills that ensure a high level of customer satisfaction and promotes collaborative alliances and team work, • Must be able to set up and organize own work priorities and adapt to them as they change frequently PHYSICAL REQUIREMENTS: • Body Positions: Sitting and standing for prolonged periods., • Body Movements: Arm and hand dexterity., • Body Senses: Must have command of close and distant sight, color perception and hearing., • Strength: Ability to lift and move up to 25-pounds

Job Description JOB SUMMARY CHA Hollywood Presbyterian Medical Center CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local multicultural communities with quality medical and nursing care. With more than 500 physicians representing virtually every specialty, HPMC strives to distinguish itself as a leading healthcare provider, recognized for providing quality, innovative care in a compassionate manner. HPMC is part of a global healthcare enterprise which owns and operates general hospitals throughout Korea, numerous research centers in the U.S. and Korea including a medical university, and CHAUM (a premier anti-aging life center). MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS Position Summary: The Admitting Team Lead is the frontline leadership role that involves overseeing daily patient registrations, operations, supervising staff, assisting with scheduling and staffing, and ensuring quality and customer service standards are met. The role involves direct patient interaction, handling patient concerns, training staff on new process and procedures. The Admitting Team Lead coordinates with the team overseeing their daily activities and assist in account resolution. Duties: • Oversee the patient admission, registration, and discharge processes to ensure compliance with facility policies, regulatory requirements, and insurance protocols., • Ensure all patient information is verified and accurately entered into the system (e.g., demographics, insurance, guarantor, physician, etc.)., • Audit admission documentation and registration entries for completeness and accuracy., • Assist with policy updates, staff training on compliance standards, and internal audits., • Collaborates with appropriate departments and staff for all requests for patients to be admitted/ transferred to HPMC., • Collaborate with departments such as billing, nursing, and medical records to ensure smooth patient flow and documentation., • Ability to effectively communicate with Physicians, admissions team, case management, leadership and other internal & external customers., • Serve as a subject matter expert for the electronic health record (EHR) and admission/registration systems, not limited to eligibility systems and online tools., • Ability to perform day-to-day admitting tasks, not limited to phone calls to verify patient insurance coverage, benefits, and pre-certification requirements., • Monitors daily activity of the team to ensure that the team is performing their duties and are meeting their KPIs., • Responsible for cost containment, conservation of supplies, equipment, and other organizational resources., • Ability to use Acknowledge, Introduce, Duration, Explanation, and Thank you (AIDET) in all settings., • Completes departmental and hospital-wide in-services, competencies and Health Stream assignments., • Create Shell accounts in Paragon and collaborates with IT improvements for accurate statistical tracking. Collaborate with admitting/case management teams on process improvement, automation, data entry and enhancement of the department as directed by Leadership, Hospital Goals and Vision., • Handle complex or escalated patient inquiries, complaints, or special cases with professionalism and empathy., • Consistently supports compliance and the Code of Conduct (Hollywood Presbyterian Medical Center's code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and license requirements (if applicable), and Hollywood Presbyterian Medical Center's Policies and Procedures., • Demonstrates a complete understanding of roles during emergency/disaster situations., • Participate in hiring, onboarding, and performance evaluations of admitting staff., • Rotates on-call and steps in to cover shift’s; as needed. Minimum Education (Indicate minimum education or degree required.) • Thorough understanding of the healthcare industry, particularly related to areas of case management and admission / transfer criteria., • Knowledge and principals and practice for different payers; Managed Care, Medicare, Medi-Cal, others, • Must possess exceptional customer service skills and excellent telephone skills., • Consistently demonstrates problem solving skills., • Must be able to work in a union environment., • Excellent communication, customer service, and organizational skills., • Ability to work in a fast-paced environment and multi-task, • Ability to anticipate and respond to issues as they arise., • Strong analytical skills., • Los Angeles County Fire Card (required within 30 days of employment)

Omega Law Group is a prestigious personal injury law firm serving California and Texas. We are committed to championing the rights of individuals who have suffered due to negligence or wrongful acts. Our dedicated team is known for delivering exceptional service and winning results for our clients. Through innovation, compassion, and expertise, we have gained a reputation as one of the leading law firms in personal injury. To learn more, please visit our website: . Position Overview Join our team as a Health Insurance Specialist. In this role, you will play a critical part in managing health insurance claims and medical billing processes for personal injury cases. Your expertise will help ensure timely resolution of claims, accurate review of medical bills, and effective dispute management. You will act as the go-to resource for all health insurance and medical billing inquiries, collaborating closely with other departments, medical providers, and clients to support case outcomes. If you thrive in a fast-paced environment and have a passion for navigating complex health insurance processes, we’d love to hear from you! Responsibilities • Open claims with Medi-Cal, Medicare, VA, and commercial insurance providers for personal injury cases., • Monitor and resolve any issues with claims to ensure timely collection of documentation for the efficient and accurate resolution of client cases., • Thoroughly review medical bills and verify health insurance liens against treatment records and payments., • Identify and address discrepancies or invalid charges and file disputes to add or remove charges as needed., • Gather and review medical records to support dispute submissions as necessary., • Provide guidance to team members on challenging lien-related issues., • Serve as the primary point of contact for health insurance and medical billing-related inquiries across the firm., • Contact insurance providers and medical facilities for information on treatment and payments., • Collaborate with attorney teams to ensure tasks are handled accurately and on time., • Engage clients to gather required details or documents when necessary. Qualifications • At least 2 year of relevant experience in health insurance claims, medical billing, or personal injury case management (3–5 years preferred)., • Experience leading or mentoring team members and managing workflows., • Solid knowledge of health insurance liens, medical billing, and lien dispute processes., • Strong attention to detail for reviewing medical bills, insurance documents, and treatment records to identify discrepancies., • Proven ability to resolve complex lien issues and provide guidance to others., • Excellent written and verbal communication skills to work effectively with insurance providers, medical facilities, attorneys, and clients., • Ability to manage multiple tasks, meet deadlines, and maintain accurate records in a fast-paced environment., • Collaborative mindset to work with attorneys, healthcare providers, and other team members. Compensation • $25 to $35 per hour Comprehensive Benefits Package: • Retirement Savings: 401(k) plan available, • Career Development: Opportunities for professional growth and advancement, • Comprehensive Insurance Coverage:, • Health Insurance, • Dental Insurance, • Vision Insurance, • Flexible Spending Account, • Life Insurance, • Paid Time Off, • Free onsite parking We are an equal opportunity employer and offer competitive compensation and benefits, and opportunities for growth.

Job Description First Rescue Ambulance in Irwindale is actively hiring for qualified candidates who have at least two years of ambulance medical billing experience. JOB DUTIES: • Process claims for BLS and CCT level ambulance transports, • Obtaining referrals and pre-authorizations as required, • Verify insurance eligibility for all patient accounts, • Knowledge of Medicare and Medicaid Regulations and Billing Guidelines., • Basic Knowledge of Commercial, PPO, and HMO Regulations and Billing Guidelines., • Respond to inquiries from insurance companies, patients and clients, • Collection calls and/or correspondence with external clients or patients for payments, • Ability to assign ICD-10 diagnosis codes, • Ability to understand EOB to ensure claims are paid according to contractual guidelines, • Sound knowledge of medical terminology and billing., • Strong analytical and problem-solving skills., • Excellent organizational skills., • Effective communication skills., • Exceptional customer service skills., • Monitor daily volume and productivity to improve efficiency., • Maintain current knowledge of industry trends and practices., • Become knowledgeable in and keep compliance with federal and state regulations relating to department functions, patient confidentiality and medical records release., • Health insurance, • Dental and Vision Plans, • Direct Deposit, • 401k, • 8 hour shift, • Monday to Friday Experience: • Must have at least 2 years experience working for an ambulance company as a biller Job Posted by ApplicantPro

Pay: $23.00 - $26.00 per hour Job description: Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: BILLER Description of Responsibilities Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing. Reporting Relationship Billing Manager Scope of Supervision None Responsibilities include the following: 1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO’s, 2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions., 3. Follows up on EOB’s (explanation of benefits) which includes: • Medicare denials, • Billing secondary insurance after Medicare’s has denied claims. 4. Calling insurance companies for explanation of denials if questionable., 5. Making corrections on deny claims and re-bills insurance companies., 6. Checks EOB’s with contracted fee schedule for accuracy or adjustments as needed., 7. Patient calls for benefit, invoicing, and explanations as needed., 8. Resolves electronic (Office Ally, Novologix, or Emdeon clearing house) report matters. Minimum Qualifications: • Effective interpersonal, time management and organizational skills., • Office experience preferred., • Computer skills that include word processing, and efficient use of the internet and e-mail., • Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms., • Must be detail oriented Education and/or Experience: • Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher., • At least 1 –2 years of medical or pharmaceutical billing experience or related A/R, • Knowledge of insurance verification procedures., • Proficiency in 10-key preferred., • Prior experience in a pharmacy or home health company is of benefit., • Prior experience in a consumer related business is also of benefit. Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities. Job Type: Full-time Work Location: In person

Job DescriptionBenefits: • Bonus based on performance, • Employee discounts, • Health insurance, • Wellness resources We are looking for a highly motivated, ethical, productive and Competent Chiropractor to work in a multi-specialty practice. Offering Medical, Chiropractic, Acupuncture, Massage and Exercise therapy. We are passionate about providing the best possible care for our clients and believe that chiropractic care is an integral part of an overall health plan. Your responsibilities will include evaluating injuries, discussing health concerns, administering treatment, providing a treatment plan, coordinating care with other providers. As a chiropractor you are a valuable part of the team to help our patients meet their health and wellness goals. You should have a deep knowledge of the neuromusculoskeletal system and the ability to create customized treatment plans. If you are dedicated to providing exceptional patient care and improving community wellness, we want to hear from you. Be apart of an integrative practice with patients that are PPO, Veterans, Medicare, WC, PI and Cash. Duties include treating 20-30 patients a day using diversified technique, some Cox flexion distraction and activator, notes reports, medical necessity reports and collaboration with providers and staff. Performing X-rays, report of findings and working with the billing department. Qualifications • Doctorate of Chiropractic degree., • Proven experience as a Chiropractor, • State license and valid malpractice insurance., • Strong communication and active listening skills., • Comprehensive knowledge of the neuromusculoskeletal system, • Understanding of supplemental therapies, • X-ray license a plusBenefits Opportunity to participate with the company Blue Shield health plan, 100% coverage primary care, urgent care, telemedicine, and generic medication, Cal Savers retirement plan, 40 hours of sick pay 1 week vacation accumulates after 1 year, 2 weeks vacation accumulates after 2 years, employee discounts, production bonuses. If you would like to expedite the interview process please call 213-364-9532 and ask for Viviane and let her know the position you are applying for.

APR Consulting, Inc. has been engaged to identify a Financial Administrative Representative Location: Los Angeles, CA 90017 Position: Financial Administrative Representative (Part time) Pay Rate: $24.57/hour Duration: 3 months with possibility of extension Schedule: Night shift: 5:00 PM- 1:30 AM POSITION SUMMARY The Emergency Financial Representative is responsible for ensuring reimbursement to our client from patients or other responsible parties along with assisting patients in understanding their health care insurance coverage by determining eligibility, benefits and utilization requirements. The Emergency Financial Representative is responsible for up-front POS collections, along with financially securing patients accounts by setting up appropriate financial arrangements with patients to avoid bad debt. The Emergency Financial Representative when appropriate assists patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility. Emergency Financial Representative will focus on individual performance in registration and financial counseling, Key Performance Indicators and expediting approvals by gathering and completing forms before the patient is discharged from the Emergency department. Emergency Financial Representative will continue to enhance their registration and the fundamental financial knowledge and skill set required and expected of this role, which is inclusive of the diverse financial programs offered at the client. The Emergency Financial Representative’s interaction with patients will only transpire after a medical screening exam has been performed. All patients are seen regardless of their insurance coverage or their ability to pay. The Emergency Financial Representative will complete the comprehensive training program and certification as required to facilitate eligibility for Hospital Presumptive Eligibility qualifications when necessary. SPECIFIC SKILLS NEEDED • Demonstrates a clear understanding of the client’s mission and values, • Ability to work directly with the insurance company, healthcare provider, and patients, • Ability to generate revenue with POS collections, establishing payment arrangements, along with collecting on all Self-Pay and/or high liability accounts at the point of registration., • EMTALA knowledge and experience, • Demonstrates attention to detail and follow up process, • Demonstrates ability to communicate effectively and tactfully with patients, healthcare providers and insurance companies, • Excellent English reading, comprehension and written skills to include spelling skills and penmanship, • Excellent Mathematical skills; ability to calculate copay or percentage of financial estimate amount due and/or establish payment arrangements accurately., • Ability to follow directions as outlined in policies or given by supervisor, • Strong computer skills to include typing 45+ wpm minimum and in MS office programs, • Excellent organizational skills, • Ability to exercise independent judgment at times of need and emergency situations, • Bilingual preferred, • Interacts with all levels of hospital and outside vendor staff and knowledge of government regulations, • Ability to multi-task in a fast and high pressure environment, • Stringent adherence to all privacy policies and procedures and as required by state and federal law including and not limited to the HIPPA Security and Privacy Rules, • Strong analytical skills, problem solving. The ability to act and decide accordingly. EDUCATION/EXPERIENCE/TRAINING Required • Minimum of two (2) year experience in front office/medical billing and/or current hospital registration/admitting, • Minimum of two (2) year experience in insurance verification and/or medical/hospital billing., • High school graduate required or equivalent, • Knowledge of eligibility requirements for Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, Cobra, limited benefit plans, VVC and Uncompensated Care Programs. IPA knowledge, • Medical terminology, • Non-Violent Crisis Intervention (NCI) Certification within three (3) months of hire date, • LA City Fire Card within 2 week of employment This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine. Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!

Job Description Position Summary The Vice President of Revenue Cycle is responsible for the strategic oversight and hands-on execution of the end-to-end revenue cycle across the organization's Skilled Nursing Facility (SNF) network. This role provides direct operational leadership for billing, collections, accounts receivable, payer compliance, and audit readiness, with a strong emphasis on facility-level performance, cash flow optimization, and team development. The Vice President partners closely with facility administrators, clinical leadership, and corporate leadership to maximize reimbursement, reduce days in accounts receivable, and ensure compliance with Medicare, Medi-Cal, and Managed Care payer requirements in a highly regulated post-acute environment. Core Expertise & Focus Areas Skilled Nursing Facility Revenue Cycle Optimization Healthcare Finance & Revenue Cycle Leadership Billing & Coding Compliance (Medicare, Medi-Cal, Managed Care) Claims Management, Denial Prevention, and Appeals Accounts Receivable & Cash Flow Improvement Regulatory Compliance & Audit Readiness Team Development, Mentorship, and Performance Management Duties and Responsibilities Revenue Cycle Leadership & Regional Operations • Oversee all aspects of the revenue cycle across the SNF portfolio, including patient intake, billing, collections, and accounts receivable., • Provide hands-on executive leadership with direct accountability for facility-level revenue cycle performance., • Develop and implement strategies to improve revenue cycle efficiency, reduce days in accounts receivable, and optimize cash flow., • Review and analyze facility-level cash collections, aging reports, and payer performance trends., • Identify revenue shortfalls and opportunities; implement corrective action plans to improve revenue recognition and collections., • Ensure accurate, timely, and compliant claim submission to Medicare, Medi-Cal, and commercial payers., • Implement best practices for claims management, denial prevention, and appeals., • Ensure accounts receivable and billing systems are fully functional and aligned with field operations by partnering with the Information Systems team and external vendors., • Serve as the primary liaison and subject-matter expert for billing audits, internal audits, and Additional Documentation Requests (ADRs)., • Develop, enforce, and maintain revenue cycle policies, procedures, and internal controls., • Work closely with facility administrators and business office managers to improve billing accuracy, timeliness, and accountability., • Conduct regular facility-level performance reviews, identifying root causes and driving corrective actions., • Lead, mentor, and develop revenue cycle teams, including billing, coding, and collections staff., • Evaluate team performance and implement strategies for continuous improvement and professional growth., • Support recruiting, interviewing, hiring, and onboarding of business office and revenue cycle personnel., • Stay current on industry trends, regulatory updates, and best practices impacting SNF reimbursement and revenue cycle operations., • Adapt strategies and responsibilities as business needs evolve., • Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field preferred., • Minimum of 7-10 years of progressive revenue cycle management experience, with demonstrated leadership success., • Extensive knowledge of SNF revenue cycle operations, healthcare reimbursement, and billing practices., • Strong understanding of healthcare reimbursement, billing, and accounting principles., • Proven ability to manage labor and operational budgets and track financial performance., • Ability to operate effectively in a fast-paced, highly regulated environment., • Strong organizational skills, attention to detail, and analytical capabilities., • Excellent verbal and written communication skills, with the ability to engage effectively across all levels., • Demonstrated ability to maintain confidentiality, exercise sound judgment, and make compliant, practical decisions. The duties and responsibilities outlined above are intended to describe the general nature and scope of this position and are not all-inclusive. Management reserves the right to assign or reassign duties and responsibilities at any time based on business needs.

Job Description We are a growing 35 year-old International Healthcare Consulting company. As we continue to grow we seek to add to energetic and motivated people to our team of billing professionals. Experienced and recent Billing and Coding graduates are encouraged to apply Job Description Immediate Full Time position available for an Insurance (HMO and Medi-cal Managed Care) Billing and Follow Up Specialist in the Insurance Claims Unit. Recent Grads who have completed their Externship encouraged to apply, we train. Knowledge of ICD-10, CPT, RBRVS, CMS 1500, UB04, HCPCS and Coordination of Benefits required. Individual must be able to demonstrate knowledge and experience with billing and appeals according to established guidelines for these type of claims. Individual must also be able to show a stable work history. · Strong communication skills required. · Team player a must. Positive can do attitude is essential. · Typing minimum: 60wpm+. · The firm offers Medical, Vacation, Sick time, 401-K. This is not a temporary position and we are seeking applicants who are interested in a long term commitment. Company DescriptionWe are a leading national high-technology and revenue recovery consulting firm to the healthcare industry. Founded in 1990, we have recovered over $1 billion for its clients. We are a pioneer in healthcare technology solutions and is a certified Health Information Handler for the Centers for Medicare and Medicaid Services, esMD project.We are a leading national high-technology and revenue recovery consulting firm to the healthcare industry. Founded in 1990, we have recovered over $1 billion for its clients. We are a pioneer in healthcare technology solutions and is a certified Health Information Handler for the Centers for Medicare and Medicaid Services, esMD project.

Job DescriptionDescriptionJob Title: Claims Analyst Department: Ops – Claims Ops About the Role: We are currently seeking a highly motivated Claims Analyst. This role will report to the Director - Claims and enable us to continue to scale in the healthcare industry. What You'll DoClaims Review & Processing: • Conduct comprehensive review and analysis of pended or denied claims for billing accuracy, contract compliance, and adherence to claims processing guidelines, • Process and adjudicate non-institutional and institutional claims for multiple lines of business (e.g., Medicare, Medi-Cal, Commercial, etc.), • Validate provider contracts, fee schedules, pricing configurations, and ensure updates are properly reflected in the system, • Research, adjust, and resolve complex claim issues such as duplicate billing, unbundling of services, incorrect coding, or payment discrepancies, • Review claims utilizing ICD-10, CPT, and HCPCS codes to confirm proper billing and medical necessity, • Verify member eligibility and coordination of benefits, including Medicare primary and other secondary coverage, • Identify and escalate claims with high financial or compliance risk for management reviewData & Systems Management:, • Validate system configuration that it’s pricing claims correctly, • Collaborate with configuration team if after testing configuration needs to be updated, • Collaborate with contract with full intent of DOFR and contract rates, • Maintain claim documentation and ensure system-generated errors are corrected prior to adjudication, • Monitor and process claim exception and reconciliation reports as assignedAnalytical & Project Responsibilities:, • Analyze trends in claim denials, payment discrepancies, and provider performance to identify process improvement opportunities, • Develop and maintain dashboards, reports, and KPIs to measure claims accuracy, timeliness, and financial impact, • Support cross-functional initiatives and operational projects to improve claims efficiency and compliance, • Assist in the development and implementation of new workflows, tools, and system enhancements, • Participate in project planning meetings, contributing subject matter expertise in claims operations and system configurationCollaboration & Communication:, • Serve as a liaison between Claims Operations, Provider Contracting, Finance, and IT departments to ensure alignment on claims processes and issue resolution, • Communicate project progress, risks, and deliverables to leadership and stakeholders, • Foster collaborative relationships across departments to drive process standardization and operational excellenceGeneral:, • Maintain required production and quality standards as defined by management, • Support special projects and ad-hoc assignments related to claims and operational efficiency, • Contribute to team success by sharing knowledge and supporting continuous improvement initiatives, • Regular attendance and participation in on-site and virtual meetings are essential job requirements, • High School diploma or equivalent experience required, Bachelor’s degree preferred, • Minimum 2 years experience as a Medical Claims Analyst or 7 years previous experience examining claims, • Strong knowledge of CPT, HCPCS, ICD-10, and claims adjudication processes, • Advanced skills in Microsoft Excel, Word, and familiarity with project management tools, • Strong analytical, organizational, and documentation skills. Environmental Job Requirements and Working Conditions • Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr. Monterey Park, CA 91754., • The target pay range for this role is between $75,000.00 - $95,000.00. This salary range represents our national target range for this role.

Job DescriptionDescription: Position Overview: The Revenue Cycle Coordinator is responsible for managing the revenue cycle, which is the process of generating, acquiring, and delivering revenue. Key responsibilities include processing and submitting claims to insurance companies and patients, following up on unpaid claims, resolving discrepancies with payers, ensuring timely collection of payments from insurance companies and patients. The Revenue Cycle Specialist is also responsible for submitting and obtaining all necessary documentation to create revenue for insurance companies. RCC is required to understand and interpret payer contracts. Essential Job Functions: Overall • Meet with Revenue Cycle Supervisor and Director to discuss areas of concern., • Answers questions and provides solutions to Revenue Cycle Management team., • Creates and updates Standard Operating Procedures (SOPs) and Work Aids for both domestic and global revenue cycle teams., • Supports Daily and Weekly Communication of Payer, Product and Process Updates to both domestic and global teams., • Reviews request from team members for updates to payer / system configuration and submits to the appropriate team for system update., • Monitor and report on key performance indicators related to revenue cycle activities, such as claim denial rates, time to payment, and outstanding accounts receivable, to identify areas for improvement., • Work on complex and intricate revenue-related matters., • Supports global team and provides feedback though QA, reviews and huddles., • Monitors work completed by global partners and resolves tasks the global team cannot resolve., • Trains and provides support to domestic and global team members., • Submits price table, payer rule, and system configuration updates to designated team., • Process and submit insurance claims to various payers, ensuring accuracy in coding and billing information to minimize denials and delays., • Review patient accounts to verify correct insurance billing information, update records as necessary, and resolve any discrepancies in patient account balances., • Analyze denied claims to identify denial reasons and perform the necessary follow-up actions including appealing denied claims with appropriate documentation and justification., • Analyze accounts receivable reports and take appropriate action to resolve repetitive denials., • Coordinate with healthcare providers to obtain necessary medical documentation, referrals, or authorizations required for claim processing and reimbursement., • Discusses areas needing improvement with the authorization and CMN departments as needed and offers solutions., • Engage directly with patients to explain their bills, resolve billing inquiries, and set up payment plans for outstanding balances, ensuring a positive customer service experience., • Engage in written communication and schedule meetings with payers to address aging balances., • Compiles and submits projects to insurance companies., • Meet with Revenue Cycle Supervisor and Director to discuss areas of concern., • Answers questions and provides solutions to RCM team., • Minimum one year of customer service experience, • High school diploma or equivalent required, • Effective verbal and written skills, • Knowledge in all major insurance carrier reimbursement guidelines and eligibility coverage (Medicare, Medi-Cal, Commercial Health Plans), • Able to work in a fast-paced environment, flexible and ability to adapt to changing environment, • Strong interpersonal, communication, time management, and organizational skills required, • Self-Starter with the ability to work independently The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions. Environment: Standard office setting; tasks are regularly performed without exposure to adverse environmental conditions; frequent interaction with staff and the public. The role requires that you wear a headset, access and work within multiple systems while addressing callers’ concerns in real time. Physical: Incumbents require sufficient mobility to work in an office setting; stand or sit for prolonged periods of time; operate office equipment including use of a computer keyboard; light lifting, carrying, pushing and pulling; ability to verbally communicate to exchange information. Vision: See in the normal visual range with or without correction; vision sufficient to read computer screens and printed documents; and to operate assigned equipment. Hearing: Hear in the normal audio range with or without correction. NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the organization.

Job Description POSITION SUMMARY Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits. Works closely with all departments necessary to ensure that processes, programs and services are accomplished in a timely and efficient manner in accordance with AMM policies and procedures and in compliance with applicable state and federal regulations including CMS, MediCal, and DMHC. Claims audit manager ensures incoming claims are processed in accordance with policies, procedures and guidelines , as outlined by AMM and contractual agreements; within mandated timeframes; and according to rate as reflected in respective provider contracts. Manager will be responsible for prepayment, post payment validations and the management of operational reporting, testing and data submissions. RESPONSIBILITIES-DUTIES • Prepares and coordinates the completion of complex regulatory and compliance reports for submission., • Assists in audit preparations, analyzes information, identifies deficiencies, and tracks corrective action for completion. Processes additional data into the system, ensures that data was processed and researches any interruptions to the process., • Query, analyze, and interpret data for ad hoc analyses., • Apply Medicare Claim Payment rules and requirements, including the application of National Coverage Decisions, Local Coverage Decisions, and National Correct Coding requirements to claims received for payment., • Gather information needed for compliance related activities., • Participates in quality assurance process for all new department related system/application/process changes., • Perform pre-payment audits and post payment audits to validate claims for appropriate coding and documentation and validate accurate claim adjudication rules and fee schedules were applied, • Ability to understand, work with and organize data from various systems and databases: facts, figures, narratives, and data analysis., • Demonstrate attention to detail and accuracy in work product. Support all levels of claims staff regarding Medicare Commercial, and Medi-Cal, adjudication and coding rules and requirements., • Locate and download all coding sources for system updating., • Must have excellent verbal and written communication skills., • Performs other duties as assigned / necessary. MINIMUM REQUIREMENTS • Minimum of five years’ experience in healthcare claims processing, or an equivalent combination of education, training, and experience, • Medi-Cal and Medicare claim processing experience preferred, • Strong understanding of claims processing workflow and payment rules, • Detailed knowledge of electronic billing processes and universal billing forms, • Knowledge of CMS pricers and vendor pricing software, • 3+ years of experience within an MSO, IPA or Health Plan environment, • Must be highly organized and able to perform multiple tasks efficiently, be computer literate and must be very knowledgeable of all claims processing rules and guidelines, • Must have knowledge of CPT Codes and ICD9 Codes, • Must have experience in processing all lines of business Medicare, Medi-Cal, and Commercial claims, • Proficient in RBRVS, HCPCS, and CPT coding practices, • Familiar with regulatory agencies such as CMS, DMHC, DHCS (State of Cal), • Familiar with required laws pertaining to HIPPA Security & Privacy, Fraud Waste and Abuse, • Knowledge of health plans, medical groups, and managed care operations and related functions and regulations., • Relevant Bachelor’s degree; or equivalent work experience required., • Ability to work in a fast-paced environment., • Knowledge of software applications such as EZCAP.

Job DescriptionBenefits/Perks • Flexible Scheduling, • Competitive Compensation, • Career Advancement Job SummaryWe are seeking a Medical Records Clerk to join our team. In this role, you will collect patient information, process patient admissions, and be responsible for the general organization and maintenance of patient records. The ideal candidate is highly organized with excellent attention to detail. Responsibilities • Follow all hospital procedures in the accurate maintenance of patient records, • Initiating requests for all Medical Records and Billing from Medical Facilities such as Hospitals, Chiropractic Offices, Diagnostics, Physician Centers Specialists (e.g., X-Ray, MRI, etc.), and Surgical Centers, ensuring compliance with HIPAA regulations., • Deliver medical charts to various hospital departments, • Ensure all patient paperwork is completed and submitted in an accurate and timely manner, • Maintain the confidentiality of all patient medical records and information, • Provide hospital departments with appropriate documents and forms, • Process patient admissions and discharge records, • Other administrative and clerical duties as assigned, • Handling filing of Medicare and Medical claims and accurately completing documents related to clients' cases.Qualifications, • Previous experience as a Medical Records Clerk or in a similar role is preferred, • Knowledge of medical terminology and administrative processes, • Familiarity with information management programs, Microsoft Office, and other computer programs, • Excellent organizational skills and attention to detail, • Strong interpersonal and verbal communication skills

Job Description The RDA Business Office Manager 1 provides oversight and coordination of all dental operations including supervising clerical staff in patient registrations, scheduling appointments, collections, and medical records and also supervising clinical personnel in patient care, patient flow and equipment maintenance. May supervise any combination of the following positions; Team Clerk, Registration Clerk, Consumer Relations Specialist, Dental Assistant I/II, Registered Dental Assistant I/II. Reports to: Clinic Administrator and Dental Director Supervises: May supervise any combination of the following positions: Team Clerk I/II, Registration Clerk, Consumer Relations Specialist, Dental Assistant I/II, Registered Dental Assistant Qualifications: 1.Minimum Associate degree with previous business office experience. Bachelor’s degree is desirable. (Two years of related office experience may be substituted for one year of college.) Must have a Registered Dental Assistant (RDA) license with Sealant Certification. 2.High School diploma or General Educational Development (GED) certificate equivalency. 3.Three years' progressive responsibility in health care, with two years' experience direct supervision. 4.A working knowledge of RVS, ADA, and Denti-Cal coding. Proficient in knowledge of Medi-Cal, Access Dental, Safeguard and insurance billing and collections. 5.Thorough working knowledge of business English, spelling, punctuation, and contemporary general office practices and procedures 6.A working knowledge of Medi-Cal, Medicare and other state insurance billing and collections. 7.Fluency in English (speak, read and write) with a thorough working knowledge of business English, spelling, punctuation. 8.Fluency in Spanish (speak, translate, read and write) is required. 9.Math skills sufficient to prepare routine spreadsheets, calculate/balance invoices/expense reports, calculate income for patient eligibility purposes and similar. 10.Excellent leadership skills. Northeast Valley Health Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Northeast Valley Health Corporation complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.

Job DescriptionPosition Summary: The Billing and Collections Specialist is responsible for managing complex billing and collections processes, including third-party insurance claims, patient account reviews, eligibility verification, and reprocessing of outstanding claims. This role also handles cash transactions and ensures timely posting of all receivables. The ideal candidate will have strong attention to detail, excellent communication skills, and the ability to meet deadlines while working collaboratively with internal teams and external payers to resolve billing discrepancies and ensure efficient revenue management. Duties and Responsibilities: • Prepare and submit claims to third-party payers, including Medicare, Medi-Cal, Denti-Cal, and commercial insurances., • Review claims for accuracy, ensuring compliance with payer-specific requirements and regulations., • Follow up on unpaid or denied claims, reprocessing them as necessary to secure payment., • Generate and distribute billing statements to patients and third-party payers., • Monitor accounts receivable, working diligently to reduce outstanding balances and increase collection rates., • Process patient payments, ensuring all transactions are accurately recorded and posted on the same day., • Balance daily batches and maintain accurate financial records., • Prepare and review encounter reports, addressing any discrepancies in visit documentation and billing codes., • Evaluate accounts for corrections, including adjustments, write-offs, and charge reversals, in line with established policies., • Collaborate and communicate with clinic administrators, front-line staff, and vendors to resolve billing issues and discrepancies., • Maintain open communication with the Billing Project Coordinator and Supervisor regarding claim status, workflow, and other critical billing matters., • Uphold confidentiality and comply with HIPAA regulations in all billing activities., • Identify areas for improving billing efficiency and accuracy, contributing to the overall financial health of the organization., • Stay up-to-date with changes in billing regulations, payer requirements, and coding guidelines to ensure continued compliance., • Billing Degree or Certificate., • High school diploma or equivalent (GED)., • 2-3 years of billing experience, with expertise in Medicare, Medi-Cal, Denti-Cal, and commercial third-party billing., • Familiarity with ICD-10 coding guidelines., • Strong interpersonal and communication skills, with the ability to collaborate effectively with managers, administrators, clinic staff, and vendors., • Proficiency in Microsoft Word, Excel, and Outlook., • Strong problem-solving skills and the ability to handle difficult situations professionally., • Ability to manage multiple tasks and prioritize effectively to meet deadlines., • Excellent interpersonal skills, with the ability to work independently and as part of a team., • Bilingual in English and Spanish. Employee Benefits: At JWCH Institute, Inc., we believe in taking care of those who take care of others. If you work 30+ hours per week, you’ll enjoy competitive pay and a robust benefits package that includes: • Medical, Dental, Vision, • Monthly employer-sponsored allowance for assistance with health premiums., • Funded Health Savings Account (up to deductible) to assist with carrier-approved medical expenses., • Paid time off (vacation, sick leave) and 13 paid holidays., • 401(k) Safe Harbor Profit Sharing plan., • Mileage reimbursement., • Short- and long-term disability plans (LTD/STD). JWCH Institute, Inc + Wesley Health Centers is an Equal Opportunity and Fair Chance Employer.

Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. • Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit, • HEDIS coding and record collection, • Communicate quality issues to direct supervisor & COO, Team Leaders and other Managers., • Provide support to the Management as required., • Must have CPC or CCS certification, • Five (5) years coding experience., • Multi-Specialty coding experienced required., • Outpatient/Clinic billing experience required., • Physician billing office supervisory experience preferred, • Knowledgeable in Hierarchical Condition Categories (HCC) concepts and documentation guidelines., • Knowledge in MACRA reporting, • High School degree required. Some college preferred.Company DescriptionT.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all. We are an Equal Opportunity Employer.T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.\r\n\r\nWe are an Equal Opportunity Employer.

Job Description Whether you're a newly-licensed therapist wanting to learn about the outpatient private practice setting or a seasoned clinician looking for something new, Foresight meets you where you are. Transform Lives While Building a Thriving Career - Earn a Starting Base of $72,000, With the Opportunity to Reach $110,000! Foresight is an outpatient mental health company that offers virtual and in-person therapy across California. With our purpose to improve access to high-quality mental health care, our services have expanded to include both Intensive Outpatient Services (IOP/PHP) and a Maternal Mental Health program. We are actively hiring California Licensed Mental Health Therapists for our outpatient remote and/or hybrid roles (in select locations). As a Foresight Therapist, You'll Enjoy: • Consistent schedule aligned with your availability for FT or PT, • Work remote or in a hybrid setting (based on location availability), • Freedom to use modalities aligned with your strengths and client needs, • Easy documentation through a streamlined EHR, • Professional development, consultation groups, and a dedicated support team for building caseloads, credentialing, and billing, • Free in-house Continuing Education and reimbursement for up to $600/year toward Professional Certification, • Collaboration with an interdisciplinary team, including psychiatrists and mental health nurse practitioners along with in-house referrals and partnership with our special programs, • Provide psychotherapy to individuals, couples, and families (virtually or in-person) with diverse mental health needs, including ADHD, mood disorders, and relational issues, • Conduct assessments, diagnose, and develop treatment plans, • Complete timely electronic documentation (within 72 hrs), • Sign-on Bonus: $3,500 for full-time roles (paid over 9 months), • Licensed Clinical Social Workers (LCSWs), Marriage and Family Therapists (LMFTs), Professional Clinical Counselors (LPCCs), and or Clinical Psychologists who reside in a state in which we operate (CA residency required for hybrid roles)., • Strong clinical competency in trauma-informed and evidence-based practices such as CBT, ACT, and DBT; including initial triage, risk assessment/management, crisis interventions, ICD-10 codes, and treatment planning, • Proficiency with EHR systems and comfort using digital tools (Google Suite, Zoom), • Excellent communication, active listening, and interpersonal skills to build rapport and collaborate effectively with clients, therapy leaders, billing, and support service, • Reliable time management (including maintaining a consistent schedule), attention to detail, and professional conduct across all responsibilities, • Commitment to accessibility, cultural humility, continuous learning, and Foresight's client-centered Philosophy of Care #INDCA Full-time California Licensed Therapist salary range includes a base salary with increased earning potential based on desired caseload (minimum of 25 clients per week)$72,000—$110,000 USD Thanks for your interest in working with Foresight If you are a California resident, please read our California Candidate Privacy Notice here. Foresight is an equal opportunity employer. We're committed to providing reasonable accommodations and will work with you to meet your needs. If you're a person with a disability and require assistance during the application process, please don't hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

Job DescriptionTemp-To-Hire, Healthcare Call Center Representative Opportunities Job Title: Patient Access CoordinatorLocation: AnaheimSchedule: m-F 8/5Starting Pay: $18HR (increases upon going permanent) Qualification Requirements • High School Diploma (Some college preferred or CMA), • 2 years of recent call center experience (medical/healthcare), • Knowledge of healthcare plans (Medical, Medicare), • 1 year of referral and prior authorization processing, • Solid medical terminology #INMED

Job DescriptionDescription:Practice Administrator Full-Time | Hybrid (Los Angeles) | $70,000 – $110,000 DOE Zeeva Care This Isn't Just a Practice Administrator Role. It's a leadership seat in a values-driven psychotherapy practice that believes excellence and humanity belong together. Zeeva is a clinician-owned, team-based psychotherapy practice known for doing something rare: delivering premium, high-quality therapy while remaining deeply committed to accessibility, including working with Medi-Cal and Medicare. We lead from a supportive, honest, and human-first approach centered around our core values, while holding a high bar for quality, systems, and accountability. If you've been searching for a role where your people skills, operational follow-through, and persistence are equally valued… Welcome to Zeeva! Our Core Values (These Are Non-Negotiable) Heart-Centered: Empathy leads. We show up warm, grounded, present, and authentically human, with clients and colleagues alike. Inspired Learning: We are forever students. Curiosity and growth are part of our culture. We refine our skills and never settle. Unwavering Excellence: Excellence is the foundation of everything we do! Our work is sacred, and we hold ourselves to the highest standards in quality, care, systems, and leadership. The Power of We: No one works alone. Collaboration, generosity, and shared responsibility define how we operate. We contribute fully and lift one another up. Brave Reflection: We lead with courage and self-awareness. Feedback is welcomed, accountability is embraced, and vulnerable openness is chosen over defensiveness. Who We're Looking For We're seeking a Practice Administrator who: • Energizes and supports people, inspiring us to do our best work, • Follows through relentlessly and doesn't let obstacles slow them down, • Thrives in operational challenges and finds satisfaction in making systems and processes run smoothly and beautifully People-Centered. Operationally Excellent. At Zeeva, operations are not "behind the scenes." They are the foundation that allows Zeeva to do sacred work and provide exceptional care. In this role, you will: • Build and refine systems that create calm, clarity, and reliability, • Lead people with respect, encouragement, enthusiam, and accountability, • Keep operations running smoothly across payroll, HR, credentialing, billing, client care, office management, and compliance, • Follow through on tasks and processes with tenacity and consistencyAbout the Role Zeeva is entering a pivotal year of growth. We are currently a team of 20+ and expanding our impact, making great improvements, supporting more clients, and investing in more team members who share our commitment to excellence. The Practice Administrator ensures that everything operational runs seamlessly and that the team feels supported, aligned, and empowered. You are tech-forward, naturally curious, and energized by implementing tools that help the organization run beautifully. Key Responsibilities • Lead day-to-day operations including payroll, HR, credentialing, medical billing, client care operations, and compliance, • Oversee and optimize all systems, software, and technology across the practice, • Build, lead, and supervise our support staff, • Develop and implement processes, SOPs, workflows, and KPI tracking, • Ensure compliance with California labor laws, BBS requirements, Medi-Cal, Medicare, and business licensing, • Lead recruitment, onboarding, offboarding, and operational training, • Keep processes running consistently and reliably, following through on every detailExperience & Qualifications, • 4+ years in healthcare operations, practice management, or a comparable practice/healthcare leadership role, • Strong knowledge of healthcare compliance, credentialing, medical billing, payer relationships, human resources, client care, and technology, • Proven success managing systems and operations (EHRs, CRMs, payroll platforms, HRIS, project management tools, IVR), • Exceptional people skills: energize, inspire, and hold team members accountable, • Relentless follow-through and tenacity in operational execution, • Warm, clear, and consistent leadership styleThis Role Is Not for You If…, • You prefer loosely defined roles and minimal structure, • You avoid holding accountability, feedback, or follow-through across a team, • You want a role that doesn't involve people leadership or operational ownership, • Competitive salary: $70,000–$110,000 (commensurate with experience), • Health, dental, and vision insurance, • Medical and dependent care FSA, • Generous paid time off, • Monthly Self-Care Initiative, • Matching 401k (1 year after hire up to 3.5%)

Job Description The Medical Billing Specialist (Authorizations) is responsible for planning, organizing, and coordinating daily operations to ensure quality patient financial services and streamlined access to service for all patients. Responsibilities include providing administrative, and clerical services, coding, billing, collection of payments, and input into process improvement. Imaging/Oncology experience preferred. This position is temporary for a 3 month assignment, may possibly be extended as needed. Qualifications and Requirements • Document all prior authorization information, including approval dates, billing units, procedure codes, and prior authorization number in the patient profile., • Review the accuracy and completeness of the information requested and ensure that all supporting documents are present., • Receive requests for prior authorization and ensure that they are properly and closely monitored within company-set standards., • Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed., • Collaborate with other departments to assist in obtaining prior authorization /appeals., • Proactively work on prior authorizations that are due to be expired., • Insurance verification for new and current patients, review of incoming authorizations, and accurate input into electronic medical records system (“EMR”)., • Responsible for determining patient financial responsibility as determined by the insurance company., • Research and verify patient demographic information through online verification systems., • Verify insurance eligibility; get authorization and ability to identify different kinds of insurance coverage and limitation., • Excellent verbal and written communication skills to communicate with diverse populations including physicians, employees, patients, and families., • Analytical skills to evaluate patients’ financial responsibility across all departments based on the guidelines provided., • Work effectively with others. Collaborate with other staff in the department and other departments to ensure continuity and quality of care., • Ability to multi-task, work independently and problem solve., • Demonstrate a high level of professionalism and accountability., • A high school diploma required, • Billing Certification required, • Minimum of 1 experience in the health care industry required including Medicare/Medical and HMO electronic claims submission., • Must be familiar with the medical authorization process for all types medical insurance including accessing portals of various health plans. We offer competitive salaries and a diverse blend of benefits and incentives. Benefits include: • Health, dental, and vision insurance, • 401k matching, • Company-sponsored life insurance, • Voluntary supplemental life insurance, • Voluntary short-term / long-term disability options, • Flex PTO & paid holidays, • Employee recognition programs, • Team building events & employee appreciation lunches, • Referral bonus programs, • FSA, • Job training, professional development, & continued education About the Practice and Mission At the Beverly Hills Cancer Center, our primary goal is to cure every patient's cancer. Since we know that in many cases advanced-stage cancers cannot be cured, our next goal is to make cancer a chronic disease, with which our patients can live and lead relatively normal lives. We accomplish our goals daily in our Los Angeles facility, which provides state-of-the-art, cutting-edge medical treatment, and caring attention to the mind, body and soul of each and every patient. With this fusion of science and caring, we aim to provide our patients with the best possible healing, and pride ourselves for being one of the best cancer treatment centers internationally. As a private, comprehensive facility, Beverly Hills Cancer Center provides state-of-the-art cancer treatment under one roof. Our facilities include an innovative radiation oncology center, a soothing and spacious infusion center, a full-service diagnostic imaging center (with MRI, CT, PET/CT, and Bone Scan technology), and a complete, award-winning diagnostic laboratory. We also conduct some of the world’s leading clinical trials for cancer treatment right here in our facility — making ours one of the top cancer centers in Los Angeles and worldwide. Driven by our unique model and goal to provide exceptional and personalized care, we have become the only private comprehensive cancer treatment facility in Southern California. By combining advanced treatment modalities and technologies, in a soothing environment with caring physicians and staff, we are able to provide maximum peace of mind for patients. While such things may seem like a luxury to some, here at the Beverly Hills Cancer Center we understand that a tranquil, stress-free environment is integral to the healing process. Beverly Hills Cancer Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience (including specific industry), education, specialty and training. This pay scale is not a promise of a particular wage.

Job Description Woodland Hills Medical Billing company is looking for an experienced, reliable medical biller to work in our fast paced company. This is a full time position with full benefits. The ideal candidate will possess the following skills • 2+ years of Medical Billing experienced required, • Understanding of CPT and ICD-10 coding, • Ability to interpret EOB"s, • Familiar with the entire billing cycle, • Experience with Medicare, Medi-Cal, PPO, and HMO billing, • Attention to detail and the ability to multi-task, • Quick learner, • Excellent Communication skills, • Collections experience, • Independent worker This is not an entry level position

Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. • Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit, • HEDIS coding and record collection, • Communicate quality issues to direct supervisor & COO, Team Leaders and other Managers., • Provide support to the Management as required., • Must have CPC or CCS certification, • Five (5) years coding experience., • Multi-Specialty coding experienced required., • Outpatient/Clinic billing experience required., • Physician billing office supervisory experience preferred, • Knowledgeable in Hierarchical Condition Categories (HCC) concepts and documentation guidelines., • Knowledge in MACRA reporting, • High School degree required. Some college preferred.Company DescriptionT.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all. We are an Equal Opportunity Employer.T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.\r\n\r\nWe are an Equal Opportunity Employer.

Job Description Voted one of the best companies to work for by Modern Healthcare Magazine: Renew Health Consulting Services is an award winning family company providing healthcare services including skilled nursing, assisted living and senior living communities. We believe that seniors are extraordinary people. Their lives are filled with achievements, contributions and wisdom. They have raised families, served their communities and country, lived history and ultimately set the stage for us. We are honored to provide their care, as they make the transition to the golden years, and when it becomes more challenging to care for one’s self. From a short-term rehabilitation stay to long term nursing care, each of our clinical programs are designed to reduce hospitalizations so our patients can focus on achieving their individual care plan goals whether it’s returning home or staying with us for their long term care needs Our commitment to superior quality of life is evident when you visit our family of centers. At our care center you will meet compassionate and professional team members who understand that finding the right skilled nursing setting and long-term care option could be difficult and confusing and are wanting to make a difference by providing the utmost care to genuinely help our patients and the community around them. If this sounds like a great fit for you, we would love to have you join our wonderful team! Compensation & Benefits: • As a growing and essential company, we have many opportunities for growth and development within the medical industry and are committed to providing the resources and training you need., • Pay is market competitive and negotiable based on your experience., • Full-time employees will be eligible for a variety of comprehensive medical, dental, and vision insurance plans., • Full-time employees will be eligible for Tuition Assistance., • 401K. We are looking for full-time RN MDS Consultant Responsibilities: • Responsible for visiting facilities in the assigned Region(s) on a regular basis and ensuring the accurate and timely submission of patient assessments, care planning, and billing processes that comply with the Patient-Driven Payment Model (PDPM)., • Conduct comprehensive assessments of patient's clinical needs and identify potential PDPM coding opportunities., • Collaborate with interdisciplinary teams to develop patient-centered care plans that optimize clinical outcomes and maximize reimbursement under PDPM., • Analyses and organizes PDPM and case mix data to ensure appropriate utilization of resources., • Review medical documentation to ensure completeness, accuracy, and compliance with CMS regulations., • Monitor and analyze PDPM-related data, including patient outcomes, revenue, and compliance metrics, and provide regular reports to senior leadership., • Coordinate with MDS to ensure accurate completion of all MDS assessments and any supporting assessments or clinical documentation., • Ongoing QA of medical records for the presence of supporting documentation for all items coded on the MDS., • Provide education and training to staff on PDPM and related topics, including coding, documentation, and care planning, • Serve as a subject matter expert on PDPM to internal and external stakeholders, including regulatory bodies, payers, and auditors., • Participate in quality improvement initiatives to enhance patient care and optimize reimbursement under PDPM., • Bachelor's degree in nursing or related clinical field, • Active RN license or relevant clinical licensure., • Experience with MDS completion preferred., • Minimum of 3-5 years of clinical experience in a healthcare setting., • Experience with Federal Medicare Skilling and Long term care billing. We are an equal opportunity employer and we are committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance. INDHP

Job Description THE ROLE As a member of AMM’s Compliance and Ethics team, the Compliance Coding Auditor is an important driver of our mission. They are responsible for supporting the Company’s Compliance & Ethics Program (the Program) auditing, tracking, and monitoring initiatives. Robust auditing, testing, and monitoring capabilities are essential to fulfilling the expectations of AMM’s key stakeholders, including patients and their families and government agencies, and AMM is committed to exceeding those expectations. The Program is led by AMM’s CCEO, who reports to AMM’s Chief Executive Officer and the AMM Board, and who oversees and manages the AMM Compliance Committee, consistent with industry best practices. The Compliance Coding Auditor for the Auditing, Tracking, and Monitoring team is expected to exemplify the Company’s culture and core values. This is a role that requires sound and risk-aware judgment, productive collaboration across the Company, and demonstrated success in performing audits to determine organizational integrity of billing and risk adjustment metrics, including: appropriate documentation, accurate coding and billing, and/or medical necessity of services billed. ESSENTIAL DUTIES & RESPONSIBILITIES The following description provides an overview of primary responsibilities for this position; it should not be interpreted as all-encompassing. General Responsibilities • Ensures that the Manager is timely informed of all key findings of internal compliance tests and assessments, audits, and monitoring initiatives., • Performs internal compliance department audits based on departmental planning to determine accuracy and adequacy of documentation and coding related to physician billed services based on supporting record documentation and ensures documentation by providers conforms to legal and procedural requirements., • Prepares written reports of audit findings, with recommendations, and presents to the Manager for review and presentation to appropriate stakeholders; maintains audit records., • Performs focused audits as needed in response to reported compliance and ethics concerns, with direction from the Manager of Auditing, Testing, and Monitoring., • Ensures that written evaluative reports of findings are developed for all initiatives undertaken., • In collaboration with the appropriate business unit leader, supports corrective action plans to address systemic issues or pervasive practices that could give rise to potential violations of applicable laws, regulations, or AMM’s Code of Conduct and/or policies and procedures., • Required five to ten years of relevant professional experience in healthcare, including coding and/or auditing roles. Experience auditing healthcare claims in a professional services firm and/or in-house at a large healthcare provider organization, health system, and/or payer., • An undergraduate degree; preference for Health Business or related field., • In lieu of an undergraduate degree, HS Diploma/GED and five (5) additional years of relevant experience will be considered, • Required coding certification, preferred Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC), from the American Academy of Professional Coders (AAPC), • Required top-tier healthcare audit certification, preferred Certified Professional Medical Auditor (CPMA) from the American Academy of Professional Coders (AAPC) along with a fundamental understanding of regulatory framework and coding practices., • Fundamental understanding of government healthcare programs (i.e., Medicare and Medicaid). Key Professional Skills • A demonstrated ability to cultivate working relationships with representatives from government agencies., • An ability to operate successfully in a flat culture, with the courage and competence to engage on multiple fronts and tackle challenges head-on., • An ability to prioritize effectively, and exercise sound judgment, in a fast-paced, physician-driven environment., • Exemplary integrity with courage and an unwavering ethical compass., • Pragmatic, risk-aware professional judgment., • Demonstrated tact, trustworthiness, and diplomacy skills needed to manage sensitive and confidential information such as protected health information., • An adept listener with a sense of humility., • Capable of earning the respect and confidence of colleagues through demonstrated professional excellence and expertise., • Prompt and efficient ability to manage shifting priorities, demands and timelines. When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first: • Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan., • Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe., • Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future., • Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work., • Career Development: Tuition reimbursement to support your education and growth., • Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in San Gabriel Valley Area *May be open to considering Level I Specialists based on experience and skills Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company, • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC), • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines, • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation, • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing, • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements., • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives., • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work., • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager., • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC., • 3-5+ years of experience in risk adjustment coding and/or billing experience required, • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC, • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time, if applicable., • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook, • Excellent presentation, verbal and written communication skills, and ability to collaborate, • Must possess the ability to educate and train provider office staff members, • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.You're great for this role if:, • Bilingual in Chinese (Cantonese/Mandarin), • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience, • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage, • Strong PowerPoint and public speaking experience, • Ability to work independently and collaborate in a team setting, • Experience with Monday.com, • The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role., • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas. The home office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Competitive salary, • Health insurance, • Opportunity for advancement Qualifications: 2+ years of experience in a similar role within a law firm, ideally in personal injury law. Associate's degree or certification in legal studies, health information management, or a related field preferred. Strong organizational and self-motivation skills with exceptional attention to detail. Proficiency in case management software (Filevine or similar) and medical records databases. Excellent written and verbal communication skills. Ability to handle sensitive information with discretion and maintain confidentiality. Understanding of HIPAA regulations, personal injury law, and medical terminology. Familiarity with legal document management and workflow coordination. Comfortable working independently while coordinating with Case Managers, paralegals, attorneys, and other clerks. Spanish speaker is also preferred but not required. Our client base is mostly Spanish-speaking and you will have direct contact with clients who only speak Spanish on a daily basis in order to provide them with case updates. This position is not remote, you will be required to be in the office during regular business hours to answer calls from clients, attend to the immediate needs of the Case Manager, and greet clients. Consistency in attendance and punctuality are required as you will have to cover for the Case Manager in case of absence. The Case Manager Assistant will assist Case Managers with day-to-day activities, perform administrative tasks, and work in conjunction with the Case Managers to prepare cases for settlement while providing excellent customer service to clients. Responsibilities: Communicate with clients, adjusters, and medical offices; and drafting and sending letters Report third party liability claims to Medi-Cal, Medicare, and private health insurance to obtain liens. Request, receive, process, and organize medical records, imaging, and billing information from hospitals and healthcare providers Review/analyze medical records to confirm accuracy of documents received and proactively request missing files or dates of service. Track, follow up on, and maintain detailed logs of all requests and correspondence with medical providers. Enter charges, payments, and balances into Filevine for legal assistant review. Conduct balance confirmations with medical providers for settlement negotiations, discovery, mediation or trial preparation. Maintain and update client files by reviewing case notes and tracking treatment progress. Organize and label digital records in accordance with firm procedures and document retention policies. Collaborate with attorneys, case managers, and lien specialists to support case flow, litigation, and pre-trial preparation. Organize physical and electronic files Schedule doctors appointments for clients Maintain confidentiality and comply with HIPAA and other privacy regulations at all times. Other relevant duties as assigned. Management retains the right to add to or change the duties of this position at any time. Benefits: Opportunity to support both medical and legal operations in a collaborative environment. Professional growth and development within the legal field. Hands-on experience with case management and trial preparation. Working alongside a supportive and experienced legal team When applying, provide your full name, resume, contact information, and reference information. Please send resumes immediately for interviews. Salary is based on experience.

Job Description Infusion for Health is a referral-based infusion center that services all providers in multiple locations in California, Arizona, Nevada, Washington, Colorado, and Missouri. Our center is unique and offers individual comfortable private rooms for our patients. Our mission is to provide exceptional service in the administration of infusion therapy in a comfortable, patient-focused environment by providing exemplary professional clinical care. Our company is continuing to grow and we're looking to add a Prior Authorization Specialist to support our patient care operations department. This is a full-time, 5 days a week position, onsite at our Brea HQ office. Key Responsibilities: • Responsible for ensuring timely, accurate submission follow-up and approval of Authorizations. Work with urgency, high-quality and high communication with patients, insurance and additional stakeholders as needed., • Review the accuracy and completeness of the information requested and ensure that all supporting documents are present, • Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed, • Collaborate with other departments to assist in obtaining prior authorizations/appeals, • Document all interactions with insurance companies or other stakeholders within the company system, • Document all prior authorization information, including approval dates, billing units, procedure codes, and prior authorization number in the patient profile, • Proactively work on prior authorizations that are due to be expired, • Conduct job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards, • Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership., • At least 2 years experience in infusion or pharmacy prior authorization is required, • At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines, • Ability to effectively handle multiple priorities within a changing environment, emphasizing paperless workflow, • Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding and billing a must, • Strong organization skills, • Excellent attention to detail, • must be able to work in office in Long Beach near LBM

Job DescriptionDescription: At Currance, we believe in recognizing the unique skills and experiences that each candidate brings to our team. Our overall compensation package is competitive and is determined by a combination of your experience in the industry and your knowledge of revenue cycle operations. We are committed to offering a rewarding environment that aligns with both individual contributions and our company goals. Benefits include paid time off, 401(k) plan, health insurance (medical, dental, and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work-life balance, and more. Please note that we are looking for people who have hospital billing experience in collections and have some HB billing experience, in high dollar collections, adjustments and denials management. Job Overview This position is responsible for supporting Revenue Cycle Operations as it relates to front end billing issues, billing exceptions, and edits, insurance follow-up, and all contracted payor accounts. The scope includes all professional and hospital services (diagnostic, therapeutic, or surgical) performed or billed. This position performs daily charge reconciliation and ensures all services are posted to the appropriate department in a timely manner. This position will also work with all departments to maintain a high level of charge integrity, maintain expected charge lag, and enhance reimbursement and decrease denials. Job Duties and Responsibilities • Must be onsite M-F, full time at HPMC, • Utilizes health system and external system tools to monitor charges and edits to ensure timely and accurate reimbursement of services rendered., • Conducts ongoing Charge Master activities (reviews, consolidation, revenue routing, etc.) to ensure compliance with Federal guidelines., • Enters charges and/or corrections into the appropriate system. Resolve all pre-billing edits and reconcile charge reports within the defined statement of work., • Prepares and analyzes reports on a regular basis for governmental and regulatory data, including Medicare Bad Debt and Medicare Credit Balance, and works with the leadership to help resolve any related issues., • Establishes and maintains access within the payer proprietary portals, clearinghouses, and any client specific websites required by the Revenue Cycle and financial team members., • Collaborate closely with other teams to proactively identify and resolve issues or variances in expected volumes., • Work directly with the leadership team to achieve strategic and operational objections of the department., • Support department leadership in maintaining a high level of charge data integrity., • Maintain strict confidentiality and adhere to all HIPAA regulations in handling financial and patient information. Requirements: Qualifications • Bachelor’s degree in Revenue Cycle Management or related field preferred., • 3 years of experience working with hospital charge master., • Experience with multiple host systems and Charge Master software., • Expertise with computer including Microsoft Office Suite/Teams and GoToMeeting/Zoom, etc., • Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes, • Knowledge of rules and regulations relative to Healthcare Revenue Cycle administration, • Skilled in medical accounts investigation., • Skilled in achieving results with little to no oversight., • Skilled to investigate and resolve escalated claims, • Skilled in research to identify new rules and regulations relative to Healthcare Revenue Cycle administration, • Ability to validate payments, • Ability to make decisions and take action., • Ability to maintain a positive outlook, pleasant demeanor, mature nature during all interactions, and act in the best interest of the organization and the client., • Ability to take professional responsibility for quality and timeliness of work product.

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in San Gabriel Valley OR Inland Empire *May be open to considering Level I Specialists based on experience and skills Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company, • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC), • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines, • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation, • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing, • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements., • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives., • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work., • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager., • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC., • 3-5+ years of experience in risk adjustment coding and/or billing experience required, • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC, • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time, if applicable., • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook, • Excellent presentation, verbal and written communication skills, and ability to collaborate, • Must possess the ability to educate and train provider office staff members, • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.You're great for this role if:, • Bilingual in Chinese (Cantonese/Mandarin), • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience, • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage, • Strong PowerPoint and public speaking experience, • Ability to work independently and collaborate in a team setting, • Experience with Monday.com, • The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role., • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas. The home office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.

Job DescriptionDescription: The Revenue Cycle Manager (RCM Manager) oversees all functions in the Billing/Accounts Receivable department and is responsible and accountable for the revenue cycle process. This position works collaboratively with front-line staff, clinicians, department managers, and senior leadership to maximize revenue, provide reports demonstrating trends in patient accounts, and ensure accuracy and compliance in billing, collections, and denials. The RCM Manager also ensures proper oversight of related financial screening areas (e.g., sliding fee discount policy, patient refunds, patient collections, COVID-related claims, and write-offs). Primary Responsibilities: • Manage the day-to-day revenue cycle operational processes. Our complete billing cycle in handled in house, • Participate in the development and implementation of organizational strategies, policies, and practices to create overall department success, • Identify reimbursement issues and take timely steps to resolve, • Set productivity goals, monitor, and eliminate barriers to achieving those goals at the individual and/or team level, • Manage billing department staff (5) in daily activities, assign work, set completion dates, review work and manage performance in accordance with established policies and procedures, • Analyze and assign new errors and denials, • Exhibits exceptional customer service skills; answering client calls; prompt return and follow up to all interactions;, • Prompt response to requests for information, both internally and externally initiates and maintains direct contact with CHMB clients, engaged in proactive resolution of issues and timely response to questions and concerns., • Clearly documents issues and resolution, as well as documents AR issues/status for client presentation., • Participates in client workgroups, if needed, to address AR issues., • Maintains a schedule of client meetings either monthly or quarterly depending on the size and scope of the client., • Professionally interacts with clients and patients to resolve questions and concerns., • Delivers timely required reports to the Director of Operations; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges, vendor input and implementation., • Identifies and provides timely resolution of process issues., • Track clients’ AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis; as needed to ensure the client and company expectations are met., • Provide training and mentoring to staff; ensure standard operating procedures (SOP) are followed and improvements occur., • Stay current with company’s policies and procedures regarding AR activity such as, reviewing month end reports to guarantee the AR is below 20% over 90 days, identifying trends., • Analyze reports to determine when, how and why decrease in clients’ AR; includes denials, unbilled, credit issues; holds; communicate with client and staff to resolve., • Review work performed by outside vendors for accuracy and production., • Hires, retains mentors and manages staff to achieve organizational goals., • Meets regularly with staff; in-person and as a group to confirm the status of client accounts, effectively prioritizing AR activities for staff holding them accountable for work performed., • Provides support, training and oversight to build and enhance a team to meet current and future business needs supporting our clients., • Analyze and address staff performance, conduct and other problems in a timely and professional manner, offering counseling, correction and discipline as appropriate., • Performs period reviews to mentor and give constructive feedback to improve performance., • Handle and manage internal staffing issues regarding daily matters, including but not limited to such items as timekeeping, coverage, workflow, and training., • Achieve goals set forth by supervisor, CHMB and compliance requirements., • Other duties as assigned, • Assist in hiring and training new staff members, • Prepare reports for management and physician review, • Oversee and manage and direct the retrieval, approval and correction of claims as they come through the EHR to thePractice Management System., • Reviews patient charges, payments and adjustments on automated systems., • Reconcile charges, payments and adjustments posted to the system on a regular basis., • Work closely with all stakeholders and billing personnel to assure the accuracy and integrity of the accounts receivable system, claims, registration processes., • Report fiscal detail and trends to Executive leadership, regularly., • Monthly review of patient statements, receivables., • Ensure that all third-party denials are re-billed or appropriately adjusted., • Help prepare yearly cost reports, UDS data, audit materials as requested., • Work with Executive and Operations teams to ensure that any new programs and services are billable., • Provide accurate detailed audit documentation for internal, external audits., • Ensure processes are compliant with billing policies and procedures., • Design and update business forms, as necessary., • Train, supervise and evaluate revenue management, billing manager, billers, and coding staff., • Facilitate patient and staff inquiries regarding financial accounts., • Train and provide direction to other individuals whose functions directly impact patient financials, billing, denials, eg.Front Office and Medical Assistants., • Review all visit’s data to ensure all services and diagnosis are accounted for., • Develops reports/data to assist in the evaluation of business performance, • Develops best practice revenue cycle performance benchmark for Federally Qualified Health Center (FQHC), • Participates in analysis of monthly/quarterly/annual consolidated financial data, including variance analysis and determination of profitability, • Assist with budgeting, and forecasting, including participation in business development and financing projects, • Prepare and assist in Medicare cost report and Medi-Cal reconciliation annual submission, • Review Sliding Fees and Fee Schedules to ensure up-to-date, • Handle ad-hoc reporting and analysis and investigate issues providing explanations and interpretations, • Review journal entries for revenues and allowance for doubtful accounts during month-end close, • Perform work in a self-directed manner and work with less structured, more complex issues, • Act as a resource to others Ad hoc projects, • Partner with internal and external stakeholders in key business areas related to Revenue Cycle management, • Work with management and other departments to improve billing workflow, • Analyze data from multiple sources, including patient accounting data, claims data, and clinical data from electronic medical records, to discover key insights for revenue cycle and operational improvement, • Review explanation of benefit forms received in the reimbursement process., • Appeal any incorrect non/under-payments., • Follow up on unresolved accounts receivables., • Document procedures as needed., • Provide required information on time and with a high degree of quality and transparency, • Ability to work independently and multi-task, with a strong attention to detail, • Ability to communicate effectively; excellent verbal and written communication skills, • Strong PC skills, including solid experience with standard Microsoft products, • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers, • Performs other duties as assigned by supervisory staff., • Education and/or Experience: Sufficient training and experience is required to demonstrate the ability to perform the above duties and responsibilities and to attain the knowledge, skills and abilities listed below., • Required Education: Degree in Finance or Accounting or a related field, • Preferred Education: Bachelor in Finance, Accounting, Business, or Healthcare, • Required Experience: 5-7 years of experience in billing, revenue cycle management., • Accountability: Takes ownership for delivering on commitments; owns mistakes and uses them as opportunities for learning and development; discusses openly his/her actions and their consequences both good and bad; has an ability to identify strengths and developmental opportunities and leverages insight in making adjustments adjusting to improve effectiveness; has the courage to engage in difficult conversation., • Communicating Effectively: Sharing information. Listens and involves others. Clearly conveys ideas in a manner that engages others and helps them understand and retain the message., • Decision Making/Judgment: Approaches problems and decisions methodically and objectively; involves others as needed; uses sound judgment in making decisions and understanding the impact to themselves, customers, their team, and the organization; conducts the appropriate analysis to identify the symptoms and root cause of issues; makes timely decisions., • Results Orientation: Is focused on outcomes and accomplishments; follows through on commitments; can be counted upon to successfully execute on goals; motivated by achievement and a need for closure; has an attention to detail and is both efficient and effective in achieving a high level of measurable outcomes; persists in achieving goals despite obstacles., • Oral Communication - Speaks clearly and persuasively; Listens and gets clarification when necessary; Responds informatively to questions.Ability to be approachable by staff, • Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives., • Professionalism - Approaches others in a polite and tactful manner; Maintains composure and reacts well under pressure; Treats others with respect and consideration; Accepts responsibility for own actions; Follows through on commitments., • Physical effort which may include occasional light lifting to a 25 pound limit, and some bending, stooping or squatting. Considerable walking may be involved. The ability to sit or stand for extended periods of time is required., • Flexibility to work in multiple locations throughout the week., • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions., • While performing the duties of this job, the employee may be required to travel to all UCHC facilities as needed., • Occasionally required to sit and walk., • Finger dexterity required., • Hand coordination required., • Exposure to adverse conditions., • Exposure to extreme heat., • Exposure to extreme cold., • Exposure to wet and/or humid conditions., • Exposure to moving mechanical parts., • Exposure to high, precarious places., • Exposure to fumes or airborne particles., • Exposure to toxic or caustic chemicals., • Exposure to outside weather conditions., • Possible risk of electrical shock, • Exposure to explosives, • Possible risk of radiation and vibration., • Protective clothing or equipment is required including: gloves, helmets, steel-toed boots, protective eyewear. Universal Community Health Center is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), age, disability, genetic information, national origin, or any other protected characteristic as defined under applicable state, federal, or local laws.

Job Description MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to those in our community. Our vision is "Improving the Health and Well Being of our Community." Our Core Values consist of Integrity, Compassion, and Excellence. Employees must possess a strong commitment to the mission, policies, goals and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II is responsible for the billing and collection of the overall clinic’s primary care, pediatric, behavioral health and dental services. This position works closely with providers, front office, and Quality Improvement Department. ESSENTIAL DUTIES & RESPONSIBILITIES To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required: Insurance Verification and Claim Scrubbing: • Reviews claim insurance, financial classification and run eligibility on all claims prior to submission, • Understands insurance billing, i.e. Medi-Cal, Newborn Gateway and CPE, PP, Family Pact, Medicare, Commercial insurance, and various dental programs., • Understands the application of the Sliding Fee Discount Program, documents and reviews discrepancies with RCM to develop correction plan for improvement, • Ensure complete filing and follow-up of encounter data submission to health plans, IPAs and other payors, i.e. secondary/crossover billing., • Monitor, track, and communicate with providers to assure progress notes are closed in a timely manner., • Respond professionally to billing inquiries from patients, payers, providers, and staff, • Thoroughly analyze patient accounts to ensure that patient balances are accurate, • Generate and submit patient statements monthly, • Ensure that all denials are corrected, re-billed or adjusted timely., • Ensure compliance with HIPAA and payer-specific guidelines., • Assist with closing the billing month-end closing within 10 business days after the end of the month for the prior month., • Participate in training and professional development opportunities to maintain up-to-date knowledge, • Works closely with Front Office (Patient Experience Specialist) to various projects, • Perform other duties as assigned QUALIFICATIONS These specifications are general guidelines based on the minimum experience normally considered essential to the satisfactory performance of this job. Individual abilities may result in some deviation from these guidelines. To perform effectively in this position, the incumbent must have: Education: High school diploma or GED required, Certified Professional Coder and/or Certified Professional Biller preferred Experience: • Must have at least 2-3 years of direct billing experience (in a FQHC setting strongly preferred), • Understand CPT, CDT, HCPCS and ICD-10 coding protocols, Medi-Cal, Medicare, Managed Care and private insurance as it relates to FQHC billing, • Must be bilingual- fluent in English and Spanish, • Must demonstrate good attendance and punctuality and complete all assignments timely., • Must have proficient computer skills, including Microsoft Office abilities, with intermediate Excel skills., • Must have a high level of accuracy, excellent analytical, problem solving and time management skills, and possess strong organizational skills., • Ability to adapt to changes in clinic setting and insurance payors requirements., • Communicate effectively with providers, other staff, and outside vendors., • Work collaboratively in a team environment, have excellent writing skills and be able to prioritize effectively., • Must maintain confidentiality and handle sensitive information with discretion, • Adheres to all HarborCHC’s policies and procedures., • Conducts self in a manner that represents HarborCHC’s core values at all times., • Must possess a solid commitment to the mission, policies, goals, and philosophy of HarborCHC., • Maintains a positive and respectful attitude with all work-related contacts., • Communicates regularly with his/her immediate supervisor about departmental and HarborCHC concerns., • Consistently reports to work prepared to perform the duties of the position., • Meets productivity standards and performs duties as workload necessitates., • Maintain strict confidentiality of all data and information., • Demonstrates integrity and accountability for duties and responsibilities. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to sit; use hands to manipulate objects, tools or controls; reach with hands and arms; and talk and hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust. HOURS OF OPERATION HarborCHC is open Monday-Thursday 7:00am-7:00pm, Friday 8:00 am-5:00pm, Saturday 8:00am-5:00pm with occasional overtime, or other shifts based on clinic need. This is a Non-exempt position, and any overtime must be approved by the Supervisor in advance. HR PROCEDURAL REQUIREMENTS • Legal authorization to work in the United States., • Clear all post offers, pre-employment background screening, and education verification. HarborCHC does not discriminate in employment opportunities or practices on the basis of race; religion; color; sex/gender (including pregnancy, childbirth, breastfeeding or related medical conditions); sexual orientation; national origin; ancestry; physical or mental disability; medical condition; genetic information/characteristics; marital status/registered domestic partner status; age; sexual orientation; reproductive health decision-making; military or veteran status; use of cannabis off the job and away from the workplace; and any other basis protected by federal, state or local law or ordinance or regulation, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. This policy applies whether the individual has or is perceived to have any of the characteristics protected by law or is associated with a person who has or is perceived to have any of the characteristics protected by law. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training. DISCLAIMER The above statements define this position as it currently exists and are intended to describe the general content of and requirements for this job. They are not to be considered as an exhaustive statement of duties, responsibilities, or requirements and does not limit the assignment of additional duties at the discretion of the supervisor. HarborCHC is an at-will employer. In addition, HarborCHC may change your duties, compensation or hours, or transfer, reassign, promote, demote, suspend or otherwise change the terms and conditions of your employment (other than the at-will relationship), with or without cause or prior notice. Mon - Fri 8:00 am to 5:00 pm

Job Description Mobile Podiatrist (Independent Contractor - 1099) Convalescent Podiatry Care is seeking a skilled Mobile Podiatrist to provide on-site foot care to residents in skilled nursing facilities across Southern California. Territories: Los Angeles, Orange County, San Diego, San Bernardino, Lancaster, and Victorville. Role: This position is for a self-motivated professional who will provide a full range of podiatric services to residents, including routine care and wound management. You will travel to assigned facilities and maintain patient records, while our administrative team handles scheduling, billing, and credentialing. Qualifications: * Doctor of Podiatric Medicine (DPM) degree. * Current and unrestricted California Podiatrist license. * Active Medicare and Medi-Cal provider numbers (or the ability to obtain them). * Valid driver's license and reliable transportation.

Job Description Job Title: Non-Clinical - Administrative - Administration Manager Location: Anaheim, CA (onsite) Contract Duration: 13 weeks Total hours: 40 Clinical Research Manager- Temporary to Permanent. Applicants who are not looking for a permanent role will not be accepted. Required upon hire: ACRP or SOCRA certification, or other Clinical Research Certification Education: Bachelor's Degree Required Master's Degree Preferred Experience: • 7 years of Clinical research experience REQUIRED, • 5 years in management or supervision of clinical trials REQUIRED., • 5 years Experience in clinical research finance REQUIRED, • Experience in managing data collection, reporting, outcomes, quality improvement, standards/pathways REQUIRED, • Experience in meeting FDA (GCP, ICH guidelines), as well as other Federal, State and Local regulations surrounding human research REQUIRED., • Experience with working with Pharmaceutical and FDA agency representatives REQUIRED. Summary Under the supervision of the Director, the Manager of Clinical Research is responsible for assuring the strategic vision, directions and operations of the clinical research finance department are implemented and adhered to by all staff. Responsible for oversight of the day to day operations of the clinical research finance team. Responsibilities include compliance with regulations and assure good communication between the various ministries, stakeholders and leadership. Assists in developing, implementing and maintaining policies and procedures. Assists in providing on-going formal and informal training for research staff. Manage Human Resource functions of the Department including recruitment, hiring, career development, performance evaluations, disciplinary actions and day to day Human Resource functions. Responsible for overseeing the development of research contracting and budgeting standards. Directs the negotiation of contracts for clinical trials and determination of internal costs and development of internal budget for negotiations of sponsored and investigator initiated clinical trials in compliance with applicable state and federal laws and regulations, especially Medicare and Stark Law. Lead the development and implementation of study builds in the clinical trial management system (CTMS). Additional Duties: • Oversee HR functions for the finance team, including recruitment, hiring, performance evaluations, disciplinary actions, career development, and daily operations., • Collaborate with leadership to develop and implement strategic plans, allocate resources to support growth, and foster professional development and shared decision-making among staff., • Facilitate transparent communication and collaboration with clinical research programs, Clinical Program Services, and other key stakeholders regarding operations, contracts, budgets, finance, and CTMS. Build and maintain collaborative relationships across departments, hospital leadership, physician investigators, and external research partners., • Lead team responsible for internal budget development and negotiations, ensuring compliance with FMV, Medicare guidelines, and state laws. Manage department budgets, financial tracking, and month-end accounting processes., • Direct contract negotiation strategies with clinical trial sponsors. Provide expertise in developing standard clinical trial agreements and collaborate with Legal Affairs to align contracts with site needs., • Manage and lead the month end accounting process, reviewing for quality assurance, and accuracy and addressing areas of concern. Supervise post-award financial management, including invoicing, revenue accrual, vendor payments, and financial reporting. Ensure accurate billing, coding, and compliance with Medicare research funding rules., • Lead the development and implementation of CTMS, aligning system functionality with clinical protocols, contract terms, and financial workflows. Balance technology investment with compliance and ROI. Provides resources and experiences to team to interpret clinical trial protocols, contracts and budgets into study specific builds, as well as allowing for patient management, and the AR and AP activities of all clinical trials., • Ensure adherence to federal regulations and system policies in clinical trials. Develop and maintain QA processes, data controls, and compliance standards to protect organizational interests. Knowledgable of Medicare research funding rules and regulations and ensures appropriate billing and coding of patient services to correct research account., • Aid in developing standard operating procedures and policies to improve departmental efficiency and performance. Identify and lead quality improvement initiatives. Institutes controls to assure accuracy, completeness and confidentiality of research data. Identifies, facilitates and coordinates quality improvement opportunities; develops local QA process to address areas of need., • Demonstrate deep understanding of the clinical trial lifecycle, including feasibility, budgeting, contract alignment, reporting, and operational implementation. Advanced understanding and working knowledge of accounting platforms, research grant management, and clinical trial platforms., • Computer literate to include advanced level proficiency in Microsoft Office Programs (Word, Excel, Access and PowerPoint), E-mail and Internet., • Thorough knowledge and understanding of HIPPA, GCP and ICH regulations, clinical trial monitoring, and regulatory compliance., • Extensive Knowledge of DHHS, FDA, NCI, NIH, OHRP and other relevant regulations concerning research and compliance., • Knowledgeable of principles of accounting and contract law affecting clinical trials., • Ability to successfully budget and negotiate industry contracts for sponsored clinical trials., • Highly organized and attentive to details, problem solving abilities and ability to work with minimal supervision., • Highly motivated and able to take initiative., • Ability to prioritize, organize, plan, and implement as well as handle multiple projects/problems simultaneously within a fast paced environment; able to collect and manage large amount of data and maintain databases; communicates progress, challenges and results effectively., • Knowledge of operations, including human resource, budget management and work flow planning., • Ability to plan, chair, document and follow-up on administrative and related meetings., • Ability to work independently and with minimal supervision., • Ability to be flexible, multi task and switch priorities as well as work comfortably in a deadline driven environment., • Communicates well with physicians, patients, sponsors and staff on interpersonal and technical levels, both verbally and in writing; demonstrates high integrity and maintains confidentiality of all information., • Interacts favorably with people by phone and in person, and work effectively as part of a team., • Demonstrate communication, leadership, and team building skills; evidence of this should includes dealing well with people, effective problem solving, appropriately confronting issues, motivating others as individuals and as groups, planning, organizing and directing the activities of others., • Excellent written/verbal communication skills to effectively interact with all levels of management, departments, and users.Company DescriptionTechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal. We serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness. We also have national recruitingTechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal. \r\n\r\nWe serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness. \r\n\r\nWe also have national recruiting

Job DescriptionJob Description Pay: $22.00 - $29.00 per hour Job description: Are you searching for a fulfilling role where your contributions truly matter? A place where your voice is heard and your actions drive positive outcomes for clients? Your search ends here! We are BANA LAW, PC, a prominent, full-service Personal Injury law firm located in the heart of thriving Century City, Los Angeles. We are dedicated to representing clients who have been seriously injured in accidents across California. We take pride in providing high-quality legal services in an efficient and strategic manner. We are looking for a Pre-Litigation Case Manager Assistant to join our dynamic team! In this pivotal role, you will support our Case Managers in providing exceptional service to clients during their challenging journey toward recovery and justice. As a dedicated and detail-oriented Pre-Litigation Case Manager Assistant, your responsibilities will include: Opening claims with auto & health insurance providers, Medicare, and Medi-Cal Managing property damage, loss of use, and medical payment claims Requesting and maintaining medical records and billing Scanning and filing of important documents Keeping client files organized with notes and activity updates Scheduling medical appointments and transportation for clients Communicating with clients regarding claim status and treatment plans! Requirements: Fluency in Spanish is a must Highly organized and detail-oriented Exceptional client/customer service skills Strong team player mentality A minimum of 3 years of experience as a Case Manager Assistant Job Type: Full-time Pay: $22.00 - $29.00 per hour Expected hours: 40 per week Schedule: 8-hour shift Monday to Friday Experience: Open to all experience levels 1 year in personal injury law (preferred) Language: Spanish (Required) Work Location: In-person If you're ready to make a difference and grow with us, apply today! We can't wait to welcome you to our team. Job Type: Full-time Benefits: • 401(k), • 401(k) matching, • Dental insurance, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Experience: • Case Manager Assistant: 3 years (Required), • Personal injury law: 1 year (Required) Language: • Spanish (Required) Work Location: In person

Job Description Job Title: Non-Clinical - Administrative - Administration Manager Location: Anaheim, CA (onsite) Contract Duration: 13 weeks Working hours: Day 5x8-Hour (08:00 - 17:00) Total hours: 40 Clinical Research Manager- Temporary to Permanent. Applicants who are not looking for a permanent role will not be accepted. Required upon hire: ACRP or SOCRA certification, or other Clinical Research Certification Education: Bachelor's Degree Required Master's Degree Preferred Experience: • 7 years of Clinical research experience REQUIRED, • 5 years in management or supervision of clinical trials REQUIRED., • 5 years Experience in clinical research finance REQUIRED, • Experience in managing data collection, reporting, outcomes, quality improvement, standards/pathways REQUIRED, • Experience in meeting FDA (GCP, ICH guidelines), as well as other Federal, State and Local regulations surrounding human research REQUIRED. Responsible for overseeing the development of research contracting and budgeting standards. Directs the negotiation of contracts for clinical trials and determination of internal costs and development of internal budget for negotiations of sponsored and investigator initiated clinical trials in compliance with applicable state and federal laws and regulations, especially Medicare and Stark Law. Lead the development and implementation of study builds in the clinical trial management system (CTMS). Additional Duties: • Oversee HR functions for the finance team, including recruitment, hiring, performance evaluations, disciplinary actions, career development, and daily operations., • Collaborate with leadership to develop and implement strategic plans, allocate resources to support growth, and foster professional development and shared decision-making among staff., • Facilitate transparent communication and collaboration with clinical research programs, Clinical Program Services, and other key stakeholders regarding operations, contracts, budgets, finance, and CTMS. Build and maintain collaborative relationships across departments, hospital leadership, physician investigators, and external research partners., • Lead team responsible for internal budget development and negotiations, ensuring compliance with FMV, Medicare guidelines, and state laws. Manage department budgets, financial tracking, and month-end accounting processes., • Direct contract negotiation strategies with clinical trial sponsors. Provide expertise in developing standard clinical trial agreements and collaborate with Legal Affairs to align contracts with site needs., • Manage and lead the month end accounting process, reviewing for quality assurance, and accuracy and addressing areas of concern. Supervise post-award financial management, including invoicing, revenue accrual, vendor payments, and financial reporting. Ensure accurate billing, coding, and compliance with Medicare research funding rules., • Lead the development and implementation of CTMS, aligning system functionality with clinical protocols, contract terms, and financial workflows. Balance technology investment with compliance and ROI. Provides resources and experiences to team to interpret clinical trial protocols, contracts and budgets into study specific builds, as well as allowing for patient management, and the AR and AP activities of all clinical trials., • Ensure adherence to federal regulations and system policies in clinical trials. Develop and maintain QA processes, data controls, and compliance standards to protect organizational interests. Knowledgable of Medicare research funding rules and regulations and ensures appropriate billing and coding of patient services to correct research account., • Aid in developing standard operating procedures and policies to improve departmental efficiency and performance. Identify and lead quality improvement initiatives. Institutes controls to assure accuracy, completeness and confidentiality of research data. Identifies, facilitates and coordinates quality improvement opportunities; develops local QA process to address areas of need., • Demonstrate deep understanding of the clinical trial lifecycle, including feasibility, budgeting, contract alignment, reporting, and operational implementation. Advanced understanding and working knowledge of accounting platforms, research grant management, and clinical trial platforms., • Computer literate to include advanced level proficiency in Microsoft Office Programs (Word, Excel, Access and PowerPoint), E-mail and Internet., • Thorough knowledge and understanding of HIPPA, GCP and ICH regulations, clinical trial monitoring, and regulatory compliance., • Extensive Knowledge of DHHS, FDA, NCI, NIH, OHRP and other relevant regulations concerning research and compliance., • Knowledgeable of principles of accounting and contract law affecting clinical trials., • Ability to successfully budget and negotiate industry contracts for sponsored clinical trials., • Highly organized and attentive to details, problem solving abilities and ability to work with minimal supervision., • Highly motivated and able to take initiative., • Ability to prioritize, organize, plan, and implement as well as handle multiple projects/problems simultaneously within a fast paced environment; able to collect and manage large amount of data and maintain databases; communicates progress, challenges and results effectively., • Knowledge of operations, including human resource, budget management and work flow planning., • Ability to plan, chair, document and follow-up on administrative and related meetings., • Ability to work independently and with minimal supervision., • Ability to be flexible, multi task and switch priorities as well as work comfortably in a deadline driven environment., • Communicates well with physicians, patients, sponsors and staff on interpersonal and technical levels, both verbally and in writing; demonstrates high integrity and maintains confidentiality of all information., • Interacts favorably with people by phone and in person, and work effectively as part of a team., • Demonstrate communication, leadership, and team building skills; evidence of this should includes dealing well with people, effective problem solving, appropriately confronting issues, motivating others as individuals and as groups, planning, organizing and directing the activities of others., • Excellent written/verbal communication skills to effectively interact with all levels of management, departments, and users.Company DescriptionTechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal. We serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness. We also have national recruitingTechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal. \r\n\r\nWe serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness. \r\n\r\nWe also have national recruiting

Job Description Do you have a passion for helping the underserved in your community? Are you a team player with a good attitude ready to step into a challenging position? Do you have impeccable communication and organization skills to contribute to an amazing team? If you are an experienced Billing Clerk and you answered yes to these questions, then The Children’s Clinic dba TCC Family Health has a great employment opportunity for you. Our Mission TCC Family Health (TCC) is guided by our mission "to provide innovative, integrated, quality health care that will contribute to a healthy community, focusing on those in need and working with patients and the community as partners in their overall well-being" The Company TCC Family Health was founded in 1939 by a group of physicians and community leaders who recognized the importance of access to health care for all children, particularly those who are from low-income families and who are at risk for health problems. For over 80 years, TCC Family Health has been dedicated to eliminating barriers to care, to improve health and lower health systems cost by expanding cost-effective, meaningful and innovative health care programs that work and providing comprehensive healthcare in a culturally sensitive and linguistically appropriate manner to medically underserved, low-income and high-risk populations in Long Beach and surrounding communities. The Clinic is a true medical home for greater Long Beach and surrounding communities providing medical care and counseling for well-child visits; acute and chronic care; adult clinic; community outreach and education; immunizations; laboratory testing; prescribed medications; and linkage to community resources in (12) clinic sites. Since then, TCC Family Health has grown from offering weekly well-child care to daily, full-service health care with primary care services for children, adolescents, and adults. TCC is known as a unique leader in the greater Long Beach community, addressing disparities in health by providing quality care for the under-served of all ages, offering them a true “medical home”. Position Summary The primary responsibility of this position is to obtain accurate reimbursement for healthcare claims by accurately processing claims, completing follow-ups in a timely manner, and by monthly recommendation of write offs. Essential Duties/Responsibilities • Review billing work queues on a daily basis for potential claims to be processed, • Process an average of 100 claims daily, • Review registration/information is accurate., • Process PM160 forms according to charge review and CHDP guidelines, • Create and mail out insurance claims and patient statements, • Rebill insurance companies or other third parties to secure payments for patients, • Completes Medicare billing in Epic as well as in the DDE system, • Flags delinquent accounts to report to supervisor for further action, • Follow up on insurance and patients refunds, • Some manual billing or outside of practice software system, • 1- 2 years of general billing experience, • Some collection experience is a plus, • Ability to manage difficult or emotional customer situations, • Writes clearly and informatively; presents numerical data effectively, • Shows respect and sensitivity for cultural differences GENEROUS COMPANY BENEFITS – Including 100% Company-paid medical plan • 100% Company-premium paid medical plan (We offer a Blue Shield plan that provides coverage at a zero payroll deduction to employees.), • Medical, Dental, & Vision Insurance, • Company Paid Life Insurance, • 401k with employer contribution, • Employee Assistance Program (EAP), • Flexible Spending Account (FSA), • AFLAC, • MetLaw, • United PetCare Program Job Type: Full-time Pay: $23 - $25.00 per hour Expected hours: 40 per week Benefits: • 401(k), • Dental insurance, • Health insurance, • Paid time off, • ICD-10: 1 year (Preferred), • Medical billing: 1 year (Required), • Medical collection: 1 year (Preferred)

Job Description Required upon hire: ACRP or SOCRA certification, or other Clinical Research Certification Education: Bachelor's Degree Required Master's Degree Preferred Experience: • 7 years of Clinical research experience REQUIRED, • 5 years in management or supervision of clinical trials REQUIRED., • 5 years Experience in clinical research finance REQUIRED, • Experience in managing data collection, reporting, outcomes, quality improvement, standards/pathways REQUIRED, • Experience in meeting FDA (GCP, ICH guidelines), as well as other Federal, State and Local regulations surrounding human research REQUIRED., • Experience with working with Pharmaceutical and FDA agency representatives REQUIRED. Summary Under the supervision of the Director, the Manager of Clinical Research is responsible for assuring the strategic vision, directions and operations of the clinical research finance department are implemented and adhered to by all staff. Responsible for oversight of the day to day operations of the clinical research finance team. Responsibilities include compliance with regulations and assure good communication between the various ministries, stakeholders and leadership. Assists in developing, implementing and maintaining policies and procedures. Assists in providing on-going formal and informal training for research staff. Manage Human Resource functions of the Department including recruitment, hiring, career development, performance evaluations, disciplinary actions and day to day Human Resource functions. Responsible for overseeing the development of research contracting and budgeting standards. Directs the negotiation of contracts for clinical trials and determination of internal costs and development of internal budget for negotiations of sponsored and investigator initiated clinical trials in compliance with applicable state and federal laws and regulations, especially Medicare and Stark Law. Lead the development and implementation of study builds in the clinical trial management system (CTMS). Additional Duties: • Oversee HR functions for the finance team, including recruitment, hiring, performance evaluations, disciplinary actions, career development, and daily operations., • Collaborate with leadership to develop and implement strategic plans, allocate resources to support growth, and foster professional development and shared decision-making among staff., • Facilitate transparent communication and collaboration with clinical research programs, Clinical Program Services, and other key stakeholders regarding operations, contracts, budgets, finance, and CTMS. Build and maintain collaborative relationships across departments, hospital leadership, physician investigators, and external research partners., • Lead team responsible for internal budget development and negotiations, ensuring compliance with FMV, Medicare guidelines, and state laws. Manage department budgets, financial tracking, and month-end accounting processes., • Direct contract negotiation strategies with clinical trial sponsors. Provide expertise in developing standard clinical trial agreements and collaborate with Legal Affairs to align contracts with site needs., • Manage and lead the month end accounting process, reviewing for quality assurance, and accuracy and addressing areas of concern. Supervise post-award financial management, including invoicing, revenue accrual, vendor payments, and financial reporting. Ensure accurate billing, coding, and compliance with Medicare research funding rules., • Lead the development and implementation of CTMS, aligning system functionality with clinical protocols, contract terms, and financial workflows. Balance technology investment with compliance and ROI. Provides resources and experiences to team to interpret clinical trial protocols, contracts and budgets into study specific builds, as well as allowing for patient management, and the AR and AP activities of all clinical trials., • Ensure adherence to federal regulations and system policies in clinical trials. Develop and maintain QA processes, data controls, and compliance standards to protect organizational interests. Knowledgable of Medicare research funding rules and regulations and ensures appropriate billing and coding of patient services to correct research account., • Aid in developing standard operating procedures and policies to improve departmental efficiency and performance. Identify and lead quality improvement initiatives. Institutes controls to assure accuracy, completeness and confidentiality of research data. Identifies, facilitates and coordinates quality improvement opportunities; develops local QA process to address areas of need., • Demonstrate deep understanding of the clinical trial lifecycle, including feasibility, budgeting, contract alignment, reporting, and operational implementation. Advanced understanding and working knowledge of accounting platforms, research grant management, and clinical trial platforms., • Develop and implement strategies to increase revenue and accelerate project timelines, ensuring competitiveness and goal achievement. Skills Needed: • Computer literate to include advanced level proficiency in Microsoft Office Programs (Word, Excel, Access and PowerPoint), E-mail and Internet., • Thorough knowledge and understanding of HIPPA, GCP and ICH regulations, clinical trial monitoring, and regulatory compliance., • Extensive Knowledge of DHHS, FDA, NCI, NIH, OHRP and other relevant regulations concerning research and compliance., • Knowledgeable of principles of accounting and contract law affecting clinical trials., • Ability to successfully budget and negotiate industry contracts for sponsored clinical trials., • Highly organized and attentive to details, problem solving abilities and ability to work with minimal supervision., • Highly motivated and able to take initiative., • Ability to prioritize, organize, plan, and implement as well as handle multiple projects/problems simultaneously within a fast paced environment; able to collect and manage large amount of data and maintain databases; communicates progress, challenges and results effectively., • Knowledge of operations, including human resource, budget management and work flow planning., • Ability to plan, chair, document and follow-up on administrative and related meetings., • Ability to work independently and with minimal supervision., • Ability to be flexible, multi task and switch priorities as well as work comfortably in a deadline driven environment., • Communicates well with physicians, patients, sponsors and staff on interpersonal and technical levels, both verbally and in writing; demonstrates high integrity and maintains confidentiality of all information., • Interacts favorably with people by phone and in person, and work effectively as part of a team., • Demonstrate communication, leadership, and team building skills; evidence of this should includes dealing well with people, effective problem solving, appropriately confronting issues, motivating others as individuals and as groups, planning, organizing and directing the activities of others.

Job DescriptionDescription: Revenue Cycle Auditor Position Overview: The Revenue Cycle Auditor is responsible for managing the revenue cycle, which is the process of generating, acquiring, and delivering revenue. Key responsibilities include processing and submitting claims to insurance companies and patients, following up on unpaid claims, resolving discrepancies with payers, ensuring timely collection of payments from insurance companies and patients. The Revenue Cycle Auditor is also responsible for submitting and obtaining all necessary documentation to create revenue for insurance companies. RCA is required to understand and interpret payer contracts and work on and address any complex and intricate revenue-related issues. In addition, RCA will analyze accounts receivable reports, identify repetitive denials, systematic issues, and schedule meetings with payers. RCA needs to identify internal organizational errors arising from other departments and/or system configuration and take appropriate action to resolve them. Essential Job Functions: • Process and submit insurance claims to various payers, ensuring accuracy in coding and billing information to minimize denials and delays., • Review patient accounts to verify correct insurance billing information, update records as necessary, and resolve any discrepancies in patient account balances., • Analyze denied claims to identify denial reasons and perform the necessary follow-up actions including appealing denied claims with appropriate documentation and justification., • Analyze accounts receivable reports and take appropriate action to resolve repetitive denials., • Coordinate with healthcare providers to obtain necessary medical documentation, referrals, or authorizations required for claim processing and reimbursement., • Discuss areas needing improvement with the authorization and CMN departments as needed., • Engage directly with patients to explain their bills, resolve billing inquiries, and set up payment plans for outstanding balances, ensuring a positive customer service experience., • Engage in written communication and schedule meetings with payers to address aging balances., • Compiles and submits projects to insurance companies., • Meet with Revenue Cycle Manager and Director to discuss areas of concern., • Process and submit authorization and CMN requests to medical groups, plans, and physicians’ offices. Follow-up in a timely manner., • Process eligibility verification and determine payer, benefits, and coverage criteria., • Monitor and report on key performance indicators related to revenue cycle activities, such as claim denial rates, time to payment, and outstanding accounts receivable, to identify areas for improvement., • Work on complex and intricate revenue-related matters., • Supports global team and provides feedback though QA, reviews and huddles., • Monitors work completed by global partners and resolves tasks the global team cannot resolve., • Submits price table, payer rule, and system configuration updates to designated team., • Implement and adhere to compliance standards and regulations related to medical billing and coding, maintaining confidentiality of patient information in accordance with HIPAA guidelines., • Minimum of 2 years’ experience in Revenue Cycle Management, • High school diploma or equivalent required, • Effective verbal and written skills, • Knowledge in all major insurance carrier reimbursement guidelines and eligibility coverage and claims processing guidelines (Medicare, Medi-Cal, Commercial Health Plans), • Thorough understanding of healthcare regulations, coding guidelines, and payer policies/contracts, • Able to work in a fast-paced environment, flexible and ability to adapt to changing environment, • Strong interpersonal, communication, time management, and organizational skills for effectively conveying audit findings to payers as well as with domestic and global staff, • Self-Starter with the ability to work independently, • Proficiency with Microsoft Excel, • Experience with Brightree EHR or other EHR system, • In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle, • Strong analytical and problem-solving abilities, • Working knowledge of MS Office, • Strong ability to analyze financial data, identify discrepancies, and conduct audits The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions. Environment: Standard office setting; tasks are regularly performed without exposure to adverse environmental conditions; frequent interaction with staff and the public. The role requires that you wear a headset, access and work within multiple systems while addressing callers’ concerns in real time. Physical: Incumbents require sufficient mobility to work in an office setting; stand or sit for prolonged periods of time; operate office equipment including use of a computer keyboard; light lifting, carrying, pushing and pulling; ability to verbally communicate to exchange information. Vision: See in the normal visual range with or without correction; vision sufficient to read computer screens and printed documents; and to operate assigned equipment. NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the organization.

Job Description Voted one of the best companies to work for by Modern Healthcare Magazine: Griffith Healthcare Center is an award winning family company providing healthcare services including skilled nursing, assisted living and senior living communities. We believe that seniors are extraordinary people. Their lives are filled with achievements, contributions and wisdom. They have raised families, served their communities and country, lived history and ultimately set the stage for us. We are honored to provide their care, as they make the transition to the golden years, and when it becomes more challenging to care for one’s self. From a short-term rehabilitation stay to long term nursing care, each of our clinical programs are designed to reduce hospitalizations so our patients can focus on achieving their individual care plan goals whether it’s returning home or staying with us for their long term care needs Our commitment to superior quality of life is evident when you visit our family of centers. At our care center you will meet compassionate and professional team members who understand that finding the right skilled nursing setting and long-term care option could be difficult and confusing and are wanting to make a difference by providing the utmost care to genuinely help our patients and the community around them. If this sounds like a great fit for you, we would love to have you join our wonderful team! Compensation & Benefits: • As a growing and essential company, we have many opportunities for growth and development within the medical industry and are committed to providing the resources and training you need., • Pay is market competitive and negotiable based on your experience., • Full-time employees will be eligible for a variety of comprehensive medical, dental, and vision insurance plans., • Full-time employees will be eligible for Tuition Assistance. We are looking for full-time Admissions Coordinator. Responsibilities include: • Obtains referral information from telephone and walk-in inquiries, including complete clinical and financial information necessary for admission committee approval., • Ensures financial verification is accurate and complete before the patient is admitted to the Center thus assisting in reducing accounts receivable., • Obtains family commitment to tour the Center on 80% of viable referrals. Conducts a professional tour utilizing Center clinical personnel as assistance in gaining family commitment to admit to the Center., • Conducts the admission process of signing in and explaining admission policies to patients and their families. Ensures a smooth transition is achieved and that all paperwork is complete upon admission. Emphasizes financial arrangements and responsibilities., • Chairs the daily admissions meeting with Center personnel to update on referrals, admissions and follow-up which needs to be conducted in order to obtain admission. Assists with increasing conversion rate to exceed 65% by following up on all referrals immediately. Informs the admissions committee of upcoming discharges., • Informs Marketing Director of any referral source issues that arise during the referral process., • Develops relationships with referral sources. ADMINISTRATIVE, • Supports the overall goals of the Company and the Center., • Communicates all billing issues with accounting office and Marketing., • Documents all necessary information in an accurate and timely manner., • Maintains accurate daily updates on the Marketing Information System ensuring all data elements are input so that reports can be generated on a daily, weekly and monthly basis. Also responsible for the integrity of the data which is input into the MDS., • Two to three years experience as Admissions Director or Admissions Coordinator at a SNF, sub-acute, rehab, or other health care facility., • Excellent organizational skills with a detail orientation towards documentation and follow-up., • Professional telephone skills with the ability to handle referral calls effectively and efficiently, meeting the needs of the referral sources and families., • Inside or outside sales experience preferred., • Ability to work with family members and conduct tours with a focus on closing., • Computer experience using a marketing information system We are an equal opportunity employer and we are committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance. INDHP

Job DescriptionDescription: Omega Law Group is a prestigious personal injury law firm serving California and Texas. We are committed to championing the rights of individuals who have suffered due to negligence or wrongful acts. Our dedicated team is known for delivering exceptional service and winning results for our clients. Through innovation, compassion, and expertise, we have gained a reputation as one of the leading law firms in personal injury. To learn more, please visit our website: . Position Overview Join our team as a Health Insurance Specialist. In this role, you will play a critical part in managing health insurance claims and medical billing processes for personal injury cases. Your expertise will help ensure timely resolution of claims, accurate review of medical bills, and effective dispute management. You will act as the go-to resource for all health insurance and medical billing inquiries, collaborating closely with other departments, medical providers, and clients to support case outcomes. If you thrive in a fast-paced environment and have a passion for navigating complex health insurance processes, we’d love to hear from you! Responsibilities • Open claims with Medi-Cal, Medicare, VA, and commercial insurance providers for personal injury cases., • Monitor and resolve any issues with claims to ensure timely collection of documentation for the efficient and accurate resolution of client cases., • Thoroughly review medical bills and verify health insurance liens against treatment records and payments., • Identify and address discrepancies or invalid charges and file disputes to add or remove charges as needed., • Gather and review medical records to support dispute submissions as necessary., • Provide guidance to team members on challenging lien-related issues., • Serve as the primary point of contact for health insurance and medical billing-related inquiries across the firm., • Contact insurance providers and medical facilities for information on treatment and payments., • Collaborate with attorney teams to ensure tasks are handled accurately and on time., • At least 2 year of relevant experience in health insurance claims, medical billing, or personal injury case management (3–5 years preferred)., • Experience leading or mentoring team members and managing workflows., • Solid knowledge of health insurance liens, medical billing, and lien dispute processes., • Strong attention to detail for reviewing medical bills, insurance documents, and treatment records to identify discrepancies., • Proven ability to resolve complex lien issues and provide guidance to others., • Excellent written and verbal communication skills to work effectively with insurance providers, medical facilities, attorneys, and clients., • Ability to manage multiple tasks, meet deadlines, and maintain accurate records in a fast-paced environment., • Retirement Savings: 401(k) plan available, • Career Development: Opportunities for professional growth and advancement, • Comprehensive Insurance Coverage:, • Health Insurance, • Dental Insurance, • Vision Insurance, • Flexible Spending Account, • Life Insurance, • Paid Time Off We are an equal opportunity employer and offer competitive compensation and benefits, and opportunities for growth. Requirements:

Job DescriptionWe are looking for a dedicated Credentialing Specialist to join our team on a contract basis in Torrance, California. In this role, you will play a crucial part in managing credentialing processes for healthcare providers, ensuring compliance with Medicare and commercial insurance requirements. This is a fantastic opportunity for professionals with credentialing expertise who are eager to expand their skills into medical billing, as training in this area will be provided. Responsibilities: • Handle credentialing for multiple healthcare providers, ensuring compliance with Medicare and commercial insurance standards., • Prepare and submit re-credentialing applications in a timely and accurate manner., • Monitor and maintain up-to-date records of provider credentials and certifications., • Collaborate with healthcare providers and insurance companies to resolve credentialing issues., • Ensure compliance with regulatory requirements and organizational policies during credentialing., • Assist in learning and performing medical billing tasks as part of the role., • Provide regular updates and reports on credentialing statuses to the relevant stakeholders., • Maintain detailed documentation and records for all credentialing activities., • Support the team in improving credentialing processes for efficiency and accuracy., • Respond promptly to inquiries related to credentialing and billing processes.• Proven experience in credentialing, including provider and physician credentialing., • Strong understanding of credentialing processes and re-credentialing applications., • Excellent organizational skills and attention to detail., • Ability to manage multiple tasks and meet deadlines effectively., • Proficiency in handling Medicare and commercial insurance credentialing., • Interest in expanding skills into medical billing, with training provided., • Strong communication skills for interacting with providers and insurance representatives., • Familiarity with healthcare compliance regulations and standards.

Job Description First Rescue Ambulance is seeking on on-site ambulance biller. Must be able to work on-site at our Irwindale location. Ambulance billing experience is required. RESPONSIBILITIES: • Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues, • Responsible for escalating concerns regarding questionable paperwork to appropriate management, • Contact payers to verify claim status via phone or web and follow up on unpaid claims, • Process appeals on aged insurance claims/denials, • Ability to analyze, identify and resolve issues which may cause payer payment delays, • Identify and resolve claim edits through understanding of billing guidelines and payer requirements, • Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate, • Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable, • Review all EOBs for correct payment, deductible, adjustments, and denials, • Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment, • Reconcile account balances, and verify payments are applied correctly, • Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner, • Follow up on appeals/corrected submitted claims, • Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding, • Review and audit customer service account inquiries, • Receive inbound/outbound customer service call, • Provide excellent customer service to all patients, Insurances & Facilities, • Review and correct all rejections in clearing house, • Must have 2-3 years of medical billing experience (required), • Ambulance billing experience (preferred), • Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation, • Proficient in CPT and ICD-10 coding, • Ambulance/Medical billing certification or diploma preferred, • Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred, • Excellent organizational skills and the ability to multitask in a fast-paced environment, • Analytical - collects and researches data; uses intuition and experience to complement data Job Posted by ApplicantPro

Job Description Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in billing/collections in a skilled nursing environment. This position will help to support 3 nursing facilities in a centralized billing environment. The Medicare Biller / Collector will be responsible for the coordination of collecting money from Medicare and the Medicare part A and part B coinsurance. They will support the function of Medicare and Medicare coinsurance collections to give it more focus and establish efficient methods of collecting. What You Will Do: • Responsible to bill Medicare, Managed Care, Medical, Co-Insurance, and various share of costs., • Setup new admissions medical records system to bill accurately, • Review billing documentation to ensure completeness, including accuracy of Medicare claims, • Manage submission of claims to Medicare and Medicare coinsurance to medical, managed medical, supplemental plans, • Manage calls to Insurance Companies to follow up on coinsurance claims/documentation process, • Review payments for the accuracy or appeal claim paid incorrectly, • Prepare Provider Dispute Resolutions, • Ensure billing complies with CMS requirements, • Assist in creating reports for management, • Research & resolve account discrepancies, • Audit the daily census, do necessary corrections, and update payer changes., • Work with Business Office staff to ensure accuracy in last covered days, HIPPS changes, IPA, etc. -2-3 years of billing & collecting experience in a long-term healthcare environment -Excellent team building & leadership skills required -Must have knowledge of Medicare, Medicaid, pending, managed care & share of cost regulations Benefits: • Competitive pay scale based on your experience, • Great benefits – including medical, dental, Rx, and vision coverage, 401K, life and disability insurance., • Paid time off, • Dedicated and local leadership support

Job DescriptionMission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: The Medical Biller is responsible for reviewing patient encounters, ensuring billing accuracy, and processing claims for various payer sources. This position plays a critical role in maximizing revenue by adhering to payer guidelines, investigating discrepancies, and ensuring timely payment processing. The Medical Biller will also work closely with the Billing Supervisor to provide updates on billing discrepancies, manage rebills, adjustments, write-offs, and ensure payment posting is up to date. Principal Responsibilities: • Review all patient encounters for discrepancies in a timely manner to prevent submission errors to insurance providers., • Monitor and update patient information in the patient management system as necessary., • Ensure billing accuracy by reviewing all patient encounters across payer sources (insurance, Medicare, Medicaid, etc.) with less than 1% error., • Identify discrepancies and initiate necessary corrections promptly., • Adhere to payer-specific guidelines, ensuring all eligible services are billed correctly, and research coverage and non-coverage for all payer types., • Investigate and resolve issues related to eligibility, documentation, coding, procedures, and diagnoses. Collaborate with administrators to address any discrepancies found., • Post payments accurately for various payers and run reports to verify entries. Track payments, reconcile visits, and apply necessary contractual adjustments or write-offs., • Regularly review accounts to identify potential rebills, adjustments, or write-offs, ensuring accuracy in account management and timely follow-up on unpaid charges., • Provide weekly updates to the Billing Supervisor, including error reports and updates on billing discrepancies. Assist with preparing reports on billing activities, discrepancies, and revenue trends., • Enter and maintain up-to-date patient information in the management system, ensuring accuracy and compliance., • Maintain strict adherence to HIPAA and all other regulatory requirements. Submit weekly encounter verification forms and reports on billing activities., • Work closely with the billing team to streamline the revenue cycle, resolve payment delays, and support continuous process improvements., • High school diploma or GED Certification., • Must possess a Billing Certificate., • Must have at least 1 year of Medical billing and collection experience in a Medical office setting., • Experience with Medicare, Medi-cal, Cross over insurances, HMO, County and Sliding Fee Discount billing and collection., • Typing and computer proficiency skills., • Flexible with schedule, willing to travel to multiple sites as needed., • Knowledge of healthcare reimbursement, payment posting, and revenue cycle management., • Excellent attention to detail with a focus on minimizing errors in billing processes., • Strong analytical and problem-solving skills to identify and resolve discrepancies efficiently., • Effective communication skills for working with administrators, the billing team, and management., • Bi- lingual Spanish and English. Employee Benefits: At JWCH Institute, Inc., we believe in taking care of those who take care of others. If you work 30+ hours per week, you’ll enjoy competitive pay and a robust benefits package that includes: • Medical, Dental, Vision, • Monthly employer-sponsored allowance for assistance with health premiums., • Funded Health Savings Account (up to deductible) to assist with carrier-approved medical expenses., • Paid time off (vacation, sick leave) and 13 paid holidays., • 401(k) Safe Harbor Profit Sharing plan., • Mileage reimbursement., • Short- and long-term disability plans (LTD/STD). JWCH Institute, Inc + Wesley Health Centers is an Equal Opportunity and Fair Chance Employer.

Must Haves: • 2+ years of experience with billing and/or collections on the professional side, • Experience with insurance payments, • Strong knowledge of reading explanation of benefits (EOBs), • High School diploma Plusses: • Experience using Epic EMR system for billing/collections Day to Day: A client is looking for an Account Follow Up Representative to support their Refund Specialty department in Irwindale, CA. The department in undergoing a cleanup objective to clear and resolve old credit balances, which will be focusing on balances from 2023, 2024, and early 2025. In this role, this person will be working from an excel spreadsheet looking at overpayments from charge lines and research if they are valid or not. They will be confirming if payments and adjustments are posted correctly and verify the order of insurances to see if/ensure they are accurate. They will also be issuing refunds or performing offset initiations (prompting the payers to pay back the money, opposed to cutting a physical check). This practice works with all types of insurances: HMOs, PPOs, MediCare, MediCal, and Workers Comp. We’re seeking a candidate with experience in professional billing and collections, including a solid understanding of explanation of benefits (EOBs) and insurance payment processes. The ideal individual will demonstrate exceptional customer service skills, maintain a positive and professional attitude, and be reliable and committed to a full 40-hour work week. Team Dynamic/Environment: This role is based onsite at the Rivergrade office in Irwindale, CA, where the selected candidate will work alongside two other contractors hired for the same team. While three additional team members are based remotely in Chicago, the candidate will have in-person support from their manager and supervisor, who are also located at the Irwindale office. The office houses approximately 80 staff members from various billing and collections teams, creating a collaborative and dynamic work environment.

Position Summary The Vice President of Revenue Cycle is responsible for the strategic oversight and hands-on execution of the end-to-end revenue cycle across the organization’s Skilled Nursing Facility (SNF) network. This role provides direct operational leadership for billing, collections, accounts receivable, payer compliance, and audit readiness, with a strong emphasis on facility-level performance, cash flow optimization, and team development. The Vice President partners closely with facility administrators, clinical leadership, and corporate leadership to maximize reimbursement, reduce days in accounts receivable, and ensure compliance with Medicare, Medi-Cal, and Managed Care payer requirements in a highly regulated post-acute environment. Core Expertise & Focus Areas Skilled Nursing Facility Revenue Cycle Optimization Healthcare Finance & Revenue Cycle Leadership Billing & Coding Compliance (Medicare, Medi-Cal, Managed Care) Claims Management, Denial Prevention, and Appeals Accounts Receivable & Cash Flow Improvement Regulatory Compliance & Audit Readiness Team Development, Mentorship, and Performance Management Duties and Responsibilities Revenue Cycle Leadership & Regional Operations • Oversee all aspects of the revenue cycle across the SNF portfolio, including patient intake, billing, collections, and accounts receivable., • Provide hands-on executive leadership with direct accountability for facility-level revenue cycle performance., • Develop and implement strategies to improve revenue cycle efficiency, reduce days in accounts receivable, and optimize cash flow., • Review and analyze facility-level cash collections, aging reports, and payer performance trends., • Identify revenue shortfalls and opportunities; implement corrective action plans to improve revenue recognition and collections., • Ensure accurate, timely, and compliant claim submission to Medicare, Medi-Cal, and commercial payers., • Implement best practices for claims management, denial prevention, and appeals., • Ensure accounts receivable and billing systems are fully functional and aligned with field operations by partnering with the Information Systems team and external vendors., • Serve as the primary liaison and subject-matter expert for billing audits, internal audits, and Additional Documentation Requests (ADRs)., • Develop, enforce, and maintain revenue cycle policies, procedures, and internal controls., • Work closely with facility administrators and business office managers to improve billing accuracy, timeliness, and accountability., • Conduct regular facility-level performance reviews, identifying root causes and driving corrective actions., • Lead, mentor, and develop revenue cycle teams, including billing, coding, and collections staff., • Evaluate team performance and implement strategies for continuous improvement and professional growth., • Support recruiting, interviewing, hiring, and onboarding of business office and revenue cycle personnel., • Stay current on industry trends, regulatory updates, and best practices impacting SNF reimbursement and revenue cycle operations., • Adapt strategies and responsibilities as business needs evolve., • Perform other related duties as assigned by senior management. Knowledge, Skills, Abilities & Qualifications • Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field preferred., • Minimum of 7–10 years of progressive revenue cycle management experience, with demonstrated leadership success., • Extensive knowledge of SNF revenue cycle operations, healthcare reimbursement, and billing practices., • Strong understanding of healthcare reimbursement, billing, and accounting principles., • Proven ability to manage labor and operational budgets and track financial performance., • Ability to operate effectively in a fast-paced, highly regulated environment., • Strong organizational skills, attention to detail, and analytical capabilities., • Excellent verbal and written communication skills, with the ability to engage effectively across all levels., • Demonstrated ability to maintain confidentiality, exercise sound judgment, and make compliant, practical decisions., • Commitment to the mission and values of Beecan, including person-centered care delivered with dignity, compassion, integrity, teamwork, innovation, and safety. Additional Disclaimer The duties and responsibilities outlined above are intended to describe the general nature and scope of this position and are not all-inclusive. Management reserves the right to assign or reassign duties and responsibilities at any time based on business needs.