Medicare billing jobs in Los Angeles, California - Page 2Create job alerts

Job DescriptionJob Description Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly growing company! We are a mobile surgical physician wound care group expanding into new markets of the United States. The Lead Medical Biller is a critical leader responsible for ensuring the financial health of our organization by overseeing the daily operations of the billing team. This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). You will be the primary subject matter expert, driving team performance, resolving complex billing issues, and upholding strict adherence to all federal, state, and FQHC-specific billing regulations. Position is hybrid at our office in Playa Vista, CA Responsibilities: • Supervise & Train: Lead the training and mentorship of new billing hires, ensuring rapid integration and consistent adherence to best practices.Quality Assurance: Assist management by conducting routine audits to ensure compliance with all regulatory and internal billing standards., • Workflow Management: Partner with management to efficiently re-distribute workloads, optimize team capacity, and maintain productivity., • Issue Resolution: Proactively identify, report, and collaborate on solutions for problematic issues impacting team duties, efficiency, or compliance., • Claim Submission: Review, prepare, and verify all claims for accuracy, completeness, and documentation, ensuring they meet specific payer requirements for "clean" submission., • Documentation & Verification: Verify all billing information, charges, patient documentation, and insurance coverage prior to claim submission., • Follow-Up & Denial Management: Perform timely and aggressive follow-up on outstanding claims, meticulously resolve denials by correcting errors, gathering necessary documentation, and resubmitting claims efficiently., • Payment Reconciliation: Analyze and interpret all Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), confirm accurate payment posting, and manage all necessary claim appeals for underpaid or denied services. Or visit us at Qualifications: • Good verbal and written communication, • 2+ years of Lead Medical Biller experience required, • Medical billing diploma or work experience Lytec or Medisoft experience a plus, • Certification as a Certified Professional Coder (CPC) preffered, • Knowledge of Microsoft Office, especially Excel, • Health, Dental, Vision Insurance, • Generous 401 K plan, • Paid time off Skilled Wound Care is proud to be Certified™ by Great Place to Work® for the 3rd year in a row. The prestigious award is based entirely on what current employees say about their experience working at Skilled Wound Care. This year, 95% of employees said it's a great place to work – 39% higher than the average U.S. company. Skilled Wound Care will ask all candidates to perform pre-employment confidential DiSC testing and appropriate relevant skills testing prior to hiring. Skilled Wound Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age (40 or older), disability or genetic information. Compensation is DOE. "SWC1" #ZR

Job DescriptionWe are seeking a Biller/Collector II for an initial 12-month contract. This position comes with the likeliness of an extension or a direct offer. This is a HYBRID position, requiring 1-2 days per week onsite in Irwindale, CA. Pay: $25.30/hour Shift: 8:00am-4:30pm PST Monday-Friday We offer the most important benefits to attract and retain the most qualified staff. These benefits are intended to provide the fullest possible protection. Our insurance plans come in multiple options, not limiting you a singular plan. • No waiting periods!, • Dental, • Vision Care, • Life Insurance, • Disability Insurance401(k) Plan, • Annual scholarship program, • Weekly Direct Deposit, • W2 Electronic delivery, • Airport parking discount, • Initiates outbound calls that potentially lead to successful payment or timely arrangement to satisfy delinquent accounts., • Talks with payers, such as commercial insurance, Medicare, and Medicaid, to resolve problems and gather additional information needed to collect debt., • Works with customers to find and arrange collection solutions., • Ensures billing is complete and accurate. Minimum Qualifications & Experience:- High School or equivalent- 3-5 years of experience.- Strong experience with Medi Cal hospital billing, including inpatient and outpatient claims • Skilled in collections, follow up, denial resolution, and account reconciliation, • Familiar with Medi Cal guidelines, reimbursement rules, and timely filing requirements, • Ability to work high volume accounts and resolve complex billing issues efficiently, • Hospital billing experience ONLY! Candidates with professional only billing backgrounds do not qualify for this position. Apply today!! #IND1 #zrCompany DescriptionUsing the best business practices obtained from many years of experience in Business, Law, and Recruiting and Staffing, the Founders at CrossFire Group (“CrossFire”) started in downtown Royal Oak, MI more than a decade ago. With backgrounds in Information Technology (IT) and the Legal Industry, CrossFire began placing by IT and Legal Professionals in contract and direct-hire positions throughout the Midwest. Since our founding, CrossFire has grown into a full-service Human Capital Solutions Organization. We are proud of now providing full services beyond recruiting and staffing. Our portfolio of services includes HR supply chain management, human resources consulting, and many customized Human Resource related services.Using the best business practices obtained from many years of experience in Business, Law, and Recruiting and Staffing, the Founders at CrossFire Group (“CrossFire”) started in downtown Royal Oak, MI more than a decade ago. With backgrounds in Information Technology (IT) and the Legal Industry, CrossFire began placing by IT and Legal Professionals in contract and direct-hire positions throughout the Midwest.\r\n\r\nSince our founding, CrossFire has grown into a full-service Human Capital Solutions Organization. We are proud of now providing full services beyond recruiting and staffing. Our portfolio of services includes HR supply chain management, human resources consulting, and many customized Human Resource related services.

Job Description Voted one of the best companies to work for by Modern Healthcare Magazine: Griffith Park 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 LVN MDS Coordinator. The main duty of this position is to perform assessments of new patients and transmit MDS report forms for billing purposes for a Skilled Nursing Facility. Qualifications and Job Requirements • Must be currently licensed as an LVN in good standing with a minimum of 2 years of MDS experience in a Skilled Nursing Facility. 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. INDLP

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 Join Our Team at Skin and Cancer Institute! Are you passionate about dermatology and skin health? Do you thrive in a dynamic, patient-focused environment? Skin and Cancer Institute is looking for dedicated professionals to join our team! Why Join Us? At Skin and Cancer Institute, we are committed to excellence in dermatology, skin cancer treatment, and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact. Summary of Position Work Location: 2409 ARTESIA BLVD. | REDONDO BEACH, CA 90278 The Patient Care Coordinator serves as the first point of contact for patients and visitors, ensuring a welcoming and professional environment. This role is responsible for managing front desk operations, scheduling appointments, verifying insurance, collecting payments, and supporting clinical staff with administrative tasks. The ideal candidate will demonstrate excellent communication skills, attention to detail, and a commitment to patient care and confidentiality. What You’ll Do: • Courteously check patients in and out according to our Customer Service standards., • Must be able to Verify insurance and collect appropriate dues., • Balance and reconcile money collected during your work shift., • Schedule appointments, maintain and update the schedule as needed., • Confirm appointments for providers, aestheticians and RN’s., • Create and maintain patient charts, ensure you have up to date information at all times., • Prepare superbills accurately and in a timely manner., • Follow all HIPPA regulations, keep patient personal and financial information confidential., • Anticipate and respond positively to changing conditions., • Ability to stay focused on what needs to be accomplished while under pressure., • Ability to listen and communicate effectively and kindly while listening to patient complaints., • Keep the front office neat and orderly to maintain our high standards., • Maintain inventory, place order weekly as needed., • Other duties as assigned to assist the overall function of your location., • Verify insurance (deductible and copay amounts), • Know the difference between an HMO and PPO, • Ability to know the difference between Blue Cross and Blue Shield, • Ability to determine Medi-Cal HMO patients requires authorization and should be billed to Medical Group or IPA, • Ability to read insurance card and input the correct payer id or payer name and address, • Ability to know Military Insurance programs require specific policy info (SS# or 11 Digit id), • Ability to multi-task in an expeditious manner, • Ability to know if the payer is contracted with Tax id/NPI, • Verify authorization for HMO commercial and Medi-cal HMO, • Awareness of completing all patient Demographics to avoid claim rejections, • Ability to post copays into EMA, • Ability to verify straight Medicare vs Medicare Advantage Plan Required Skills / Abilities • Strong customer service and interpersonal skills, • Ability to multitask and stay organized under pressure, • Knowledge of insurance types and billing procedures, • Proficiency in Microsoft Office and EMA software, • High school diploma or equivalent required., • 1–2 years of experience in a medical office or customer service role preferred., • Familiarity with HIPAA regulations and healthcare operations., • Competitive salary and benefits, • Health, dental, vision, and ancillary insurance options, • 401K retirement savings, • Paid time off, • Professional development opportunities, • Supportive and fair work environment � Apply Today! Be a part of a dynamic team that’s transforming skin health. Submit your resume and cover letter to . We can't wait to meet you! #HealthcareJobs #DermatologyCareers #JoinOurTeam #NowHiring

Job Description Come join an exciting and innovative company that puts the “care” back in healthcare! At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work. About Us: What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion. About the Role We’re looking for a highly skilled Pharmacist Audit Specialist to take ownership of pharmacy insurance audits across our growing organization. This role sits at the intersection of pharmacy operations, reimbursement, nursing, compliance, and payer strategy - and plays a direct role in protecting revenue and minimizing risk. You’ll lead complex PBM, commercial payer, Medicare, and Medicaid audits tied to infusion therapies, using your deep understanding of home infusion workflows, billing rules, HCPCS/J‑codes, and medical necessity documentation to deliver strong, disciplined audit responses. If you thrive in fast‑paced environments, enjoy digging into complex data, and want your expertise to make a measurable impact, this role was built for you. What You’ll Do • Own the audit process for home and specialty infusion pharmacy services - from intake through final resolution - across PBM, commercial, Medicare, and Medicaid audits., • Defend claims with confidence, reviewing infusion orders, compound records, HCPCS/J‑codes, nursing documentation, plans of care, inventory records, and medical necessity support., • Evaluate real‑world infusion operations, identifying documentation, billing, or workflow gaps that create audit or recoupment risk., • Prepare and submit audit responses, appeals, rebuttals, and corrective action plans that are tight, defensible, and payer‑ready., • Analyze audit outcomes to identify trends, root causes, and revenue exposure - and turn findings into actionable improvements., • Partner cross‑functionally with pharmacy operations, nursing leadership, reimbursement, compliance, and legal to close gaps and prevent repeat findings., • Build infusion‑specific audit readiness, including standardized documentation practices and internal compliance playbooks., • Educate and influence pharmacists, nurses, billing teams, and leaders on payer expectations and audit best practices. · Bachelor of Science in Pharmacy or Doctor of Pharmacy (PharmD) from an accredited college of pharmacy required. · Active, unrestricted pharmacist license in at least one U.S. state required. · Previous ownership (full or partial) of a licensed pharmacy preferred. · Minimum of 5 years of pharmacy experience with significant exposure to billing, reimbursement, and insurance audits. · In-depth, knowledge of Pharmacy billing, reimbursement, and insurance aduits. · Prior experience with PBM/payer audits, or audit appeals strongly preferred. What we offer: • Competitive compensation, • Benefits start on your 1st day of employment, • 401k w 4% match – no waiting or vesting period, • PTO / Floating Holidays / Paid Holidays, • Company paid life insurance, short term disability, • Employee Assistance programs to help with mental health / wellness, • Learning & Development Programs, • Perks… includes discounts on travel, cell phone, clothing and more… Join us and find out why this is the place to excel and do your best work.

Job Description Financial Counselor POSITION SUMMARY The Emergency Department Financial Counselors primary responsibility is to ensure that all Emergency Department visits are reimbursable. Has good sound business judgment for establishing payment arrangements and is resourceful in exploring all avenues for payment sources. Is familiar with all Federal and State government programs for uninsured patients, Medicare, Medi-cal, Manage Care, Commercial, PPO, EPO and HMO benefits and limitations. MAJOR RESPONSIBILITIES Responsible for conducting a financial screening and interview with the patient and/or family, after the Medical Assessment has been done. Responsible for Insurance Verification for all Emergency Department accounts. Ensures that all insurance eligibility and benefits are verified, and patient is aware of all liability. Deductible, Co-insurance, Copays and No Surprise Billing are documented in Paragon and explained to the patient prior to discharge. Responsible for obtaining insurance authorization from Insurance Companies and/or Managed Care providers; obtains the necessary authorization, tracking and/or reference numbers to certify the hospital Emergency Admission to Inpatient/BHU. Facilitates and assists with determining Medi-cal eligibility. Prescreens patient for possible Medi-cal linkage. Refers patient to RISARC and the Inpatient Financial Counselor for Medi-cal appointments. Facilitates and assists with determining Charity eligibility and applications. Facilitates and assists with Cash Flat Rates for Emergency Room & Inpatients. Facilitates Monthly Payment Plans for self-pay contracts, deductibles and or co-payments Maintains accurate and complete patient registration logs for the Admitting Department. Responsible for training and development of Registration staff to obtain accurate and timely financial/demographic information on all patients. Promptly reports all mal-functioning equipment to support services. Performs daily audits of Emergency Department accounts, checks all accounts for accuracy, eligibility, and completion. Interfaces with physicians, staff and community in a professional manner to ensure quality of service and promote patient/guest relations. Develop and maintain good working relationships with staff of physician offices. Interprets and explains State, Federal and Hospital policies to patients/ family in a way that they can understand and feel respected. Willing to assist coworkers and peers in order to improve department or organizational process. Flexible with shifts as emergencies arise, able to work overtime when required. QUALIFICATIONS: At least 2-3 years of experience in Financial Counseling in a hospital setting is preferred. Working knowledge of insurance reimbursement, Medicare, Medi-cal, HMO, PPO and third party is essential. Familiar with Hospital Patient Registration policies and procedures, previous experience desired. Knowledge of Medical Terminology Employees must obtain his/her AVIP (Advanced Violence Intervention & Prevention) and or Fire Card course within first 60 days of employment. Employees are required to attend and AIDET Training class. Bilingual in English and Spanish is preferred but not required. PHYSICAL DEMAND ANALYSIS PHYSICAL REQUIREMENTS: Ability to negotiate physical environment with safety VISUAL REQUIREMENTS: Ability to translate and understand written communications and negotiate physical environment with safety. HEARING REQUIREMENTS: Ability to understand and translate auditory communications with safety WORKING CONDITIONS: Office working conditions: Normal. Patient Care Areas: With safety precautions

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 DescriptionBenefits: • Dental insurance, • Health insurance, • Vision insurance Job Summary We are seeking a Medical Biller/Collector to join our team. The ideal candidate will have a strong understanding of medical billing procedures and insurance guidelines from claim submission to payment collection, Medical Biller/Collector must have experience in handling insurance denials and appeals. Job is not remote. Responsibilities • Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima., • Follow up unpaid claims and work toward resolution., • Resolve billing discrepancies.Qualifications, • Must have 2+ years of experience in a hands on Medical Billing/Collection position., • Strong organizational and communication skills., • Be able to time manage and take direction., • Strong computer skills, EMR Skills, • Experience with HMO, PPO, and state payors., • Experience with claim appeals and aging accounts.

Job Description FQHC Billing Account Manager - Santa Fe Springs, CA Compensation: $30 - $34 per hour Nexus HR is seeking an experienced RCM Billing Account Manager. The ideal candidate will have a strong background in FQHC medical billing, revenue cycle management, and coding compliance. This role requires deep knowledge of payer regulations and reimbursement models, as well as leadership experience managing billing teams. Strong communication, analytical, and organizational skills are essential for success in this position. About the Job The RCM Billing Account Manager is responsible for overseeing all aspects of Revenue Cycle Management (RCM), including billing operations, coding compliance, claims submission, denial management, and reimbursement optimization for FQHC clients. The role involves managing assigned accounts, supervising billing teams, and reporting directly to the RCM Division Manager. The schedule is Monday through Friday, 8:30 AM to 4:30 PM Pacific Standard Time, and will work on-site at the client's office as a representative. Duties and Responsibilities: * Oversee end-to-end billing and RCM operations for assigned FQHC accounts * Communicate with clients and respond to inquiries within one business day * Serve as a trusted advisor on FQHC billing rules, UDS reporting, wraparound payments, PPS/APM reimbursement models, sliding fee schedules, and Medicaid/Medicare billing * Monitor key RCM metrics such as clean claim rate, days in A/R, denial trends, and collection performance * Conduct monthly or quarterly business reviews (QBRs) with clients * Collaborate with internal billing teams and clearinghouses to ensure accurate claims submission, payment posting, and denial resolution * Ensure compliance with HRSA, CMS, and payer-specific billing guidelines * Maintain knowledge of state Medicaid programs and managed care plans * Create dashboards and KPI reports to track AR aging, charge lag, clean claim rate, and payment trends * Lead and manage billing staff, set goals, delegate tasks, monitor performance, and training * Ensure accurate and compliant coding practices following CPT, ICD-10, and HCPCS guidelines * Develop transition plans for team changes and support onboarding of new clients/projects Qualifications: * Minimum of 3 years of FQHC medical billing experience and 3 years of management experience * Associate’s or Bachelor’s degree preferred (or equivalent experience) * CPC (Certified Professional Coder) required * Strong leadership, client communication, KPI reporting, and RCM process optimization skills * Extensive knowledge of FQHC billing regulations, Medicaid/Medicare billing, PPS/APM reimbursement models, HRSA, and CMS guidelines * English proficiency required * Must be authorized to work in the United States Benefits: * 401(k) * Medical Insurance * Dental Insurance * Vision Insurance * Paid Time Off (PTO)

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 Benefits/Perks • Competitive Compensation, • Great Work Environment, • Data entry: Receive written and faxed prescriptions from, verify the information is accurate, and input it into the system, • Answer phones and handle customer inquiries, • Inventory management, • Medication Therapy Management, • Auto Refills, • Delivery orders preparation and management, • Medicare billing and managementQualifications, • Excellent customer service and communication skills, • Strong organizational skills, • The ability to multitask and shift priorities, as needed, • Bilingual Spanish and EnglishCompensation, • Negotiable depending on ability to execute tasks effectively and experience

Job Description MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS The Revenue Integrity Analyst is responsible for supporting the hospital’s revenue cycle by ensuring accurate charge capture, compliant billing practices, and optimal reimbursement. This role analyzes clinical and financial data to identify revenue leakage, resolve billing discrepancies, and ensure adherence to regulatory and payer requirements within an acute care hospital environment. The analyst collaborates with clinical departments, coding, patient financial services, and compliance teams to maintain revenue integrity across all service lines. Key Responsibilities: • Monitor and analyze charge capture processes to identify missing, incorrect, or duplicate charges., • Conduct revenue integrity audits across hospital departments including inpatient, outpatient, and ancillary services., • Collaborate with coding, HIM, and patient financial services teams to ensure accurate coding and billing compliance., • Analyze payer policies and regulatory requirements to ensure compliance with federal and state guidelines., • Participate in process improvement initiatives to enhance revenue cycle efficiency and reduce revenue leakage, • Provide education and guidance to clinical and operational staff regarding proper charge capture and documentation., • CDM maintenance and governance, including adding, revising, and retiring charge codes, • Charge capture review and reconciliation to ensure services are billed appropriately, • Compliance monitoring related to CPT/HCPCS coding, payer guidelines, and regulatory requirements, • Pricing validation and updates within the Charge Description Master, • Coordination with departments to ensure accurate charge mapping and revenue capture, • Charge audits and variance analysis to identify revenue leakage or compliance risks, • Strong knowledge of medical terminology, coding guidelines, NCCI edits, and billing regulations., • Strong communication and interpersonal skills, with the ability to work collaboratively with clinical and administrative staff., • Ability to prioritize tasks and manage time effectively in a fast-paced environment., • Performs other job related duties as assigned. JOB QUALIFICATIONS Minimum Education (Indicate minimum education or degree required.) • Strong understanding of hospital revenue cycle operations including charge capture, coding, billing, and reimbursement., • Knowledge of Medicare, Medicaid, and commercial payer regulations, • Experience with electronic health records (EHR) and hospital billing systems, • Advanced analytical and problem-solving skills, • Strong proficiency in Microsoft Excel and data analysis tools, • Proven experience in charge capture, medical billing, or a similar role within a hospital setting 3-5 years' experience.Certified Revenue Integrity Professional (CRIP), • Certified Coding Specialist (CCS), • Certified Professional Coder (CPC), • Certified Healthcare Financial Professional (CHFP) Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.) • Current Los Angeles County Fire Card (or must be obtained within 30 days of employment), • Assault Response Competency (ARC) required (within 30 days of hire) Shift: Days Hours: 8 Weekly Hours: 40 Type: Exempt FTE: 1.0

Job Description Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth? WHAT WE'RE ABOUT We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction. Requirements: This position is responsible for at least two of the following functions: accounts payable, accounts receivable, and payroll. In the accounts receivable function, is responsible for processing accounts receivable transactions accurately and timely in accordance with company policy to maximize cash flow and ensure company accounts receivable targets are met. In the accounts payable function, is responsible for the processing of accounts payable transactions accurately and timely in accordance with company policy. The payroll function is responsible for coordinating employee payroll and benefits in accordance with company policies and procedures and applicable state and federal laws. Business Office Assistant Perks: • Generous Bonuses, • Growth Opportunities, • Health Benefits In accounts receivable role: • Maintains thorough understanding of all accounts receivable functions, company policies and procedures, government requirements, information systems, and business relationships with other facilities as well as outside vendors., • Performs billing duties per schedule or as directed by supervisor including but not limited to billing private pay, Medicaid, Medicare, Commercial, Co-insurance, Hospice, VA and Private Insurance in accordance with state and federal regulations and Company Policies and Procedures., • Participates in month-end close process as directed by supervisor. This includes but is not limited to reconciling the census, reviewing ancillary billing, posting revenue, making adjustments, balancing cash and participating in triple check., • Processes payroll per facility payroll schedule, company policies and applicable laws, to ensure accurate, timely receipt of paychecks., • Maintains a thorough understanding of all payroll functions, company policies and procedures, federal and state wage and hour law, facility pay practices, timekeeping and information systems., • 1-2 years' accounts receivable, accounts payable and/or payroll experience required; previous experience in healthcare strongly preferred., • High school diploma or equivalent required; AA degree from accredited college in business, accounting or related field preferred, • Knowledge of general accounting principles and mathematical concepts, • If handling Accounts Receivable function, must be able to understand and implement healthcare reimbursement and billing principles., • Must be able use a 10-key calculator, preferably by touch., • Must be able to prepare financial and other records in a systematic, neat, and legible manner., • Must be able to maintain high level of confidentiality and discretion, • Medical insurance with Rx benefits, • Dental insurance, • Vision care, • 401k retirement savings plan, • Paid vacation

Job DescriptionDescriptionJob Title: Customer Services Representative Department: Operations - Member Services About the Role: Astrana is looking for a Customer Service Representative to join our fast and growing Dynamic team. This position requires speaking fluent in Spanish. What You'll Do • Answer all daily telephone calls from members, providers, health plans, insurance brokers, collection agents and hospitals, • Collect Elicit information from members/providers including the problem or concerns and provide general status information, • Verify authorization, claims, eligibility, and status only, • All calls carefully documented into Company’s customer service module & NMM Queue system, • Member/Provider Service/Representative assists Supervisor and Manager with other duties as assigned, • Member outreach communications via mail or telephone, • Assist Member appointment with providers, • Resolve walk-in member concerns, • Able to provide quality service to the customers, • Able to communicate effectively with customers in a professional and respectful manner, • Maintain strictest confidentiality at all times, • Specialist termination notifications sent to members, • Urgent Medicare Authorization Approval – Notification to Medicare members, • Transportation arrangement for Medicare & Medi-Cal members, • Outreach Project Assignments INBOUND CALLS:, • Member/Provider/Health Plan/Vendor/Hospital/Broker:, • All calls carefully documented into Company’s customer service module, • Annual Wellness Visit (AWV) – Gift card pick up and schedules, • Appointment of Representative (AOR) for Medicare Members, • Attorney / Third Party Vendor calls, • Authorization status/Modification/Redirection/CPT Code changes/Quantity adds/Explain Denied Auth/Peer to Peer calls/Extend expired auth/Pre-certified auth status/Retro/2ndor 3rd opinion/, • Conduct 3 way conference call to Health Plan with member, • Conference call with Providers – Appointments, DME,, • COVID – 19 related questions (Tests & Vaccines), • Direct Member Reimbursement (DMR), • Eligibility – Demographic changes: Address/Phone/Fax Changes/Name change, • Escalated calls from providers/members, • Health Diary Passport, • Health Source MSO – Assist & arrange inquiries on Eligibility/Change PCP/Benefit with AHMC, • HIPPA Consent – Obtain Member Consent verification, • Inquiries on provider network/provider rosters, • Lab locations, • Member & Provider Complaints/Grievances, • Member bills, • Miscellaneous calls, • Pharmacy – Drug/medication pick up and coverage, • Provide authorization status for Hospital /CM Dept, • Self-Referral Request for Medicare, • Return Mail, • Track Mail Packages/ Certified mail status, • Translations – Spanish / Chinese, • Urgent Care / locations/ operations hours OUTBOUND CALLS: Member/Provider/Health Plan/Vendor/Hospital/Broker:, • Assist Case Management on CCS – age in 21 years for change of PCP from Pediatrics to FP/IM, • Assist Marketing on email inquiries, • Assist PR/ Elig – Members assigned to wrong PCP/with no PCP status, • Assisted UM / Medical Directors on urgent member appointment from escalated cases, • Authorization status response call back, • Benefits – return call once information is obtained / verified, • Complaints/Grievances – return calls once resolution is obtained, • DME – Translation support in Spanish and Chinese to confirm item / appointment set up for DME department, • Eligibility – return call to providers/labs when member is added to system while waiting at the office., • Member bills – return calls once resolution is obtained, • Member Survey – Annually: every 4thquarter, • Outreach project from internals – QCIT, • Resolve walk in members concerns, • Specialist Termination notification sent to members, • Transportation arrangement for Medicare / Medi-Cal members, • Voice mail – return calls back to callers CONCIERGE SERVICES – ESSENTIALS DUTIES AND REQUIREMENTS:, • Assist to contact new members/IPA member transfer on new PCP assignment as needed, • Work group discussions on work status/progress on new member/IPA transfer, • Update call log and provide daily/weekly status as needed, • Facilitate members with complex pre-existing conditions, medications, PCP/SPC network reviews, • Conference call with PCP selection / change, • Help member to identify member bill status, connect provider with on billing and claim submission, • Responsible for experience of the membership associated with new member/IPA transfer, • Responsible for to interact with Health Plan’s Customer Service Team to serve new member/IPA transfer, • Problem Solving complex cases/ brain storm with MS management team for resolution, • High School Diploma or GED, • Experience using Microsoft applications such as Word, Excel and Outlook, • Experience working in customer service, • One year related experience and/or training; or equivalent combination of education and experience, • You are fluent in SpanishYou're a great for this role if:, • This is a remote role. The home office is aligned with your department at 9700 Flair Drive, El Monte, CA 91731, • This position will typically work Monday - Friday from 8:30am to 5:00pm PST.

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 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 Under the direction of the Finance Manager, the Accountant supports the month-end close process and ensures financial transactions are recorded accurately and timely in accordance with Generally Accepted Accounting Principles (GAAP). This role assists with the application of accounting principles, internal controls, and the preparation of financial reports, and works collaboratively with internal and external stakeholders. Reporting structure may evolve as the finance department continues to build capacity. 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: • Records cash deposits based on nature of the payments; works closely with grants management team, billing, to understand deposit details., • Ensures fixed assets are accounted for in accordance with the organization’s capitalization policies and maintains all fixed asset records., • Manages depreciation schedules ensuring that depreciation is calculated properly and in a timely manner., • Ensures all shared costs are properly allocated on a monthly basis., • Works with other members of the finance team to ensure that all revenue and expenses are posted or accrued in the proper period prior month-end close., • Prepares and records monthly patient revenue entries., • Reconciles patient revenue payments in electronic medical records against accounts receivable in accounting records, • Reconciles all balance sheet accounts, monthly, ensuring balances are accurate and any discrepancies are resolved prior to month-end close., • Assist with external audits and prepares any necessary schedules or work papers., • Works with finance team and independent auditors to complete annual IRS Form 990., • Prepares monthly budget to actual reports for managers to review, • Works closely with the accounting team to prepare the organization’s annual operating budget, including ensuring it is loaded into the accounting system., • Supports the preparation of various reports, including Medi-Cal reconciliation reports, Medicare cost reports, HCAI utilization reports, and UDS reports., • Back-up to accounts payable and payroll function 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: Bachelor’s degree in business administration, finance, economics or concentration in accounting required. Experience: • Must have at least 3 years of experience in accounting in a similar position. Nonprofit experience preferred but not required., • Experience with MIP Abila accounting software preferred or other accounting software., • 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., • 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, • Must have the willingness and ability to adapt to change, including advances in technology. EXPECTATIONS • 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., • Performs all job functions in a professional and courteous manner. This includes answering phone calls and emails in a timely manner. PHYSICAL REQUIREMENTS 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. Full-time, Non-exempt, Onsite. Monday – Friday 8:00am – 5:00pm

Job Description Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth? WHAT WE'RE ABOUT We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction. Requirements: This position is responsible for at least two of the following functions: accounts payable, accounts receivable, and payroll. In the accounts receivable function, is responsible for processing accounts receivable transactions accurately and timely in accordance with company policy to maximize cash flow and ensure company accounts receivable targets are met. In the accounts payable function, is responsible for the processing of accounts payable transactions accurately and timely in accordance with company policy. The payroll function is responsible for coordinating employee payroll and benefits in accordance with company policies and procedures and applicable state and federal laws. Business Office Assistant Perks: • Generous Bonuses, • Growth Opportunities - DOUBLE your salary, • Health Benefits In accounts receivable role: • Maintains thorough understanding of all accounts receivable functions, company policies and procedures, government requirements, information systems, and business relationships with other facilities as well as outside vendors., • Performs billing duties per schedule or as directed by supervisor including but not limited to billing private pay, Medicaid, Medicare, Commercial, Co-insurance, Hospice, VA and Private Insurance in accordance with state and federal regulations and Company Policies and Procedures., • Participates in month-end close process as directed by supervisor. This includes but is not limited to reconciling the census, reviewing ancillary billing, posting revenue, making adjustments, balancing cash and participating in triple check., • Processes payroll per facility payroll schedule, company policies and applicable laws, to ensure accurate, timely receipt of paychecks., • Maintains a thorough understanding of all payroll functions, company policies and procedures, federal and state wage and hour law, facility pay practices, timekeeping and information systems., • 1-2 years' accounts receivable, accounts payable and/or payroll experience required; previous experience in healthcare strongly preferred., • High school diploma or equivalent required; AA degree from accredited college in business, accounting or related field preferred, • Knowledge of general accounting principles and mathematical concepts, • If handling Accounts Receivable function, must be able to understand and implement healthcare reimbursement and billing principles., • Must be able use a 10-key calculator, preferably by touch., • Must be able to prepare financial and other records in a systematic, neat, and legible manner., • Must be able to maintain high level of confidentiality and discretion, • Medical insurance with Rx benefits, • Dental insurance, • Vision care, • 401k retirement savings plan, • Paid vacation Salary Range: $22.00 - $28.00* *The salary range is the one that Long Beach Healthcare Center reasonably expects to pay for this position. The actual salary will depend on several factors (e.g., experience, educations, qualifications, etc.). Long Beach Healthcare Center is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Long Beach Healthcare Center is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact the People Department @ 818-309-2454; press 2

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 DescriptionProvide the following information and assistance regarding health insurance and benefits to elder people, disabled Medicare beneficiaries, and their family, partners, and caregivers. Coordinates and facilitates the enrollment of patients to local, state and county programs. Benefits: • Free Medical, Dental & Vision, • 13 Paid Holidays + PTO, • 403 (B) retirement match, • Life Insurance, EAP, • Tuition Reimbursement, • SEIU Union, • Flexible Spending Account, • Continued workforce development & training Education and Experience: • High School Diploma (required), • Certified Application Assistant (CAA Certificate), • Bilingual English/Spanish (Required), • Familiar with Medi-Cal, Covered CA, • Two years CAA experience (Preferred), • EHR- Electronic Health Record (Required), • Maintains personal appearance when interacting with patients, staff, and physicians., • Assists patients in completing applications and forms for private and Med-Cal, as well as other County or State health insurance programs., • Attends trainings for Medi-Cal updates, and all other applicable trainings as directed by supervisor., • Attends meetings as required for updates and as directed by supervisor., • Completes production reports, Med-Cal reports, Communication Sheets, PCP changes and tracking, and all other applicable reports., • Coordinates with all state and county programs in an efficient manner., • Creates positive and professional environment—in-person and telephonically, with patients, colleagues, and external relations., • Demonstrates understanding of SJCH policies and procedures., • Drafts positive and professional written communication/correspondence as necessary., • Educates patients about health insurance enrollment process and programs., • Electronic Health Record (EHR) inputting prescriptions and patient’s chart., • Handles Medi-Cal and other renewals on an annual basis (or as proscribed) to retain coverage., • Handles patients who do not qualify with care and empathy., • Keeps up with changes in programs as appropriate., • Practice Management System (PMS) Registration, Scheduling and Billing., • Processes applications and verifies eligibility during the patient visit., • Works with clinicians to identify and qualify patients for financial assistance programs.

Job DescriptionDescriptionJob Title: Customer Services Representative Department: Operations - Member Services About the Role: Astrana is looking for a Customer Service Representative to join our fast and growing Dynamic team. This position requires speaking fluent in Cantonese or Mandarin. What You'll Do • Answer all daily telephone calls from members, providers, health plans, insurance brokers, collection agents and hospitals, • Collect Elicit information from members/providers including the problem or concerns and provide general status information, • Verify authorization, claims, eligibility, and status only, • All calls carefully documented into Company’s customer service module & NMM Queue system, • Member/Provider Service/Representative assists Supervisor and Manager with other duties as assigned, • Member outreach communications via mail or telephone, • Assist Member appointment with providers, • Resolve walk-in member concerns, • Able to provide quality service to the customers, • Able to communicate effectively with customers in a professional and respectful manner, • Maintain strictest confidentiality at all times, • Specialist termination notifications sent to members, • Urgent Medicare Authorization Approval – Notification to Medicare members, • Transportation arrangement for Medicare & Medi-Cal members, • Outreach Project Assignments INBOUND CALLS:, • Member/Provider/Health Plan/Vendor/Hospital/Broker:, • All calls carefully documented into Company’s customer service module, • Annual Wellness Visit (AWV) – Gift card pick up and schedules, • Appointment of Representative (AOR) for Medicare Members, • Attorney / Third Party Vendor calls, • Authorization status/Modification/Redirection/CPT Code changes/Quantity adds/Explain Denied Auth/Peer to Peer calls/Extend expired auth/Pre-certified auth status/Retro/2ndor 3rd opinion/, • Conduct 3 way conference call to Health Plan with member, • Conference call with Providers – Appointments, DME,, • COVID – 19 related questions (Tests & Vaccines), • Direct Member Reimbursement (DMR), • Eligibility – Demographic changes: Address/Phone/Fax Changes/Name change, • Escalated calls from providers/members, • Health Diary Passport, • Health Source MSO – Assist & arrange inquiries on Eligibility/Change PCP/Benefit with AHMC, • HIPPA Consent – Obtain Member Consent verification, • Inquiries on provider network/provider rosters, • Lab locations, • Member & Provider Complaints/Grievances, • Member bills, • Miscellaneous calls, • Pharmacy – Drug/medication pick up and coverage, • Provide authorization status for Hospital /CM Dept, • Self-Referral Request for Medicare, • Return Mail, • Track Mail Packages/ Certified mail status, • Translations – Spanish / Chinese, • Urgent Care / locations/ operations hours OUTBOUND CALLS: Member/Provider/Health Plan/Vendor/Hospital/Broker:, • Assist Case Management on CCS – age in 21 years for change of PCP from Pediatrics to FP/IM, • Assist Marketing on email inquiries, • Assist PR/ Elig – Members assigned to wrong PCP/with no PCP status, • Assisted UM / Medical Directors on urgent member appointment from escalated cases, • Authorization status response call back, • Benefits – return call once information is obtained / verified, • Complaints/Grievances – return calls once resolution is obtained, • DME – Translation support in Spanish and Chinese to confirm item / appointment set up for DME department, • Eligibility – return call to providers/labs when member is added to system while waiting at the office., • Member bills – return calls once resolution is obtained, • Member Survey – Annually: every 4thquarter, • Outreach project from internals – QCIT, • Resolve walk in members concerns, • Specialist Termination notification sent to members, • Transportation arrangement for Medicare / Medi-Cal members, • Voice mail – return calls back to callers CONCIERGE SERVICES – ESSENTIALS DUTIES AND REQUIREMENTS:, • Assist to contact new members/IPA member transfer on new PCP assignment as needed, • Work group discussions on work status/progress on new member/IPA transfer, • Update call log and provide daily/weekly status as needed, • Facilitate members with complex pre-existing conditions, medications, PCP/SPC network reviews, • Conference call with PCP selection / change, • Help member to identify member bill status, connect provider with on billing and claim submission, • Responsible for experience of the membership associated with new member/IPA transfer, • Responsible for to interact with Health Plan’s Customer Service Team to serve new member/IPA transfer, • Problem Solving complex cases/ brain storm with MS management team for resolution, • High School Diploma or GED, • Experience using Microsoft applications such as Word, Excel and Outlook, • Experience working in customer service, • One year related experience and/or training; or equivalent combination of education and experience, • You are fluent in Cantonese or MandarinYou're a great for this role if:, • This is a remote role. The home office is aligned with your department at 9700 Flair Drive, El Monte, CA 91731, • This position will typically work Monday - Friday from 8:30am to 5:00pm PST.

Job Description Healthcare is an award winning family company providing healthcare services including skilled nursing, assisted living and senior living communities. 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, subacute, 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

Strong understanding of billing processes, claims follow-up, and denial management. This role is responsible for managing billing operations, following up on accounts, and communicating with insurance providers and patients to ensure timely and accurate reimbursement. Resolve billing discrepancies,

We are a close-knit primary care practice with two locations (Los Angeles and Buena Park) and are currently seeking a Medical Receptionist/Medical Assistant to join our team.Korean-speaking skills are required.This is a great opportunity for individuals preparing for medical school or PA school.Howe

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

Call Center / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Planet Home Lending, you will: Respond to borrower inbound calls concerning their account, ensuring high quality service and adhering to productivity and regulatory requiremen

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

To assist patients to understand recommendations given by their health care providers; performs patient care functions; answers and screens medical calls; post patient's information to medical records and provides support in planning continuity of treatment.Participates with medical/Interdisciplinar

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Capstone Partners is seeking an organized and service-oriented Administrative Assistant & Front Desk Coordinator to join our Playa District office.As the first point of contact for clients, visitors, and team members, this role is essential in creating a welcoming, professional, and highly effic

Customer Support / Remote] - Anywhere in U.Medical, dental & vision / 401k - As a Customer Service Rep at DGI Supply, you will: Handle customer and sales interactions via phone, email and tickets within the Customer Care Box; Process requests for quotations, order entry and product questions from cu

We are committed to holding defendants accountable and securing justice for our clients.We are seeking a professional and friendly Front Desk Receptionist / Administrative Assistant to join our team in Downtown Los Angeles.This position is ideal for someone who enjoys interacting with people, stayin