21 results for Claims Processor Administrative And Customer Support in Los Angeles, CA

Medical Claims Examiner A Healthcare Organization in Mid-Wilshire is looking for a Medical Claims Examiner. The Medical Claims Examiner will be responsible for processing, examining, adjudicate and adjust claims . The Medical Claims Examiner will also be responsible for the monitoring of claims to ensure compliance with the Summary Plan Description, Federal and State Mandates, and Quarterly updates as dictated by the Board of Trustees. Key Responsibilities• Generate and utilize claims adjudication reports for identifying claims adjudication errors• Process, examine and adjudicate claims• Facilitate and track the correction of claim adjudication errors• Maintain knowledge of all ICD 10, CPT, HCPCS codes, general billing procedures for Health Care Payers• Test and audit claims payments for accuracy on pre and post payments• Release Held Audits claims for accuracy and consistency• Maintains detailed knowledge & understanding of claims payments• Compile individual’s Audit results to deliver to the Manager• Maintain and update of Claims Manual Processing Guide utilized by the Claims Department• Perform other duties as necessary or assigned by the Claims Manager or Administrative Manager• Maintain required levels of production and quality standards as established by Claims Manager

Medical Customer Service Representative We are in search of a Customer Service Representative to join our team. As part of this role, you will be charged with the crucial task of processing customer requests, maintaining accurate customer records, and handling customer inquiries. This role also includes the responsibility of monitoring customer accounts and taking appropriate action. Responsibilities• Efficiently process customer credit applications • Maintain accurate records of customer credit• Act as the point of contact for customer inquiries and resolve them effectively• Monitor customer accounts and take necessary actions• Ensure adherence to department standards and metrics• Display excellent communication skills and commitment to superior customer service• Utilize double monitors for data entry while maintaining phone etiquette and proper guidelines• Assist other team members with daily paperwork load as needed to resolve and/or document patient issues• Recognize financial, medical, and legal risks based on data collected during customer interactions and follow appropriate procedures• Translate oral information into concise and accurate written documentation as per guidelines• Assist new or potential members in the choice of a primary care provider and provide general information about the medical group.

Accounts Receivable Clerk We are offering an exciting opportunity for an Accounts Receivable Clerk in Placentia, California. The selected candidate will be part of a dynamic team, working closely with various departments and customers, focusing on trade receivables processing and general accounting tasks. Responsibilities: • Oversee accounts receivables, ensuring invoices are generated with precision and promptness. • Collaborate with customer service, accounting, and management teams to secure necessary billing documents and address any discrepancies. • Engage detail-orientedly with customers to discuss credit claims, incorrect invoices, or other receivable issues. • Handle the monthly processing of outside sales expense reports. • Generate necessary accounting reports and analyses. • Maintain detail-oriented interaction with all company departments. • Keep open and effective communication channels with other key departments and personnel. • Execute tasks accurately within deadlines with minimal supervision. • Identify opportunities for enhancing process efficiency. • Manage multiple projects at once, especially during month and year-end periods. • Perform general clerical duties related to job responsibilities, such as data entry, collating, photocopying, filing, etc. • Take on other duties and special projects as assigned.

Compliance Manager We are in the search for a detail-oriented Program Manager to be a part of our nonprofit client based in Los Angeles, California. As a Program Manager, your role will involve the meticulous organization and management of various databases related to our Southern California legal aid wildfire relief efforts. You will also play a crucial role in communicating updates and information to other legal aid organizations, ensuring a seamless integration of efforts across the board. Your leadership, management and resourcefulness will assist the agency in keeping up with changing regulations, updates, and outreach to the affected community. Responsibilities• Organize and manage databases of various legal aid wildfire relief efforts, including but not limited to Resource Centers, Intake Clinics, Housing Clinics, FEMA Appeals Clinics, Insurance Clinics, Document Replacement, and Landlord-Tenant clinics• Ensure accessibility of database information to legal aid staff, community members, and government partners• Gather and organize resources related to wildfire relief efforts, such as flyers and FAQs, and ensure their accessibility to relevant parties• Develop ways to disseminate updates and information to Southern California legal aid organizations• Assist in coordinating and keeping records of Southern California wildfire relief meetings• Regularly participate in meetings with community partners and stay updated on key community initiatives• Brief the Pro Bono Team and agency staff on key community initiatives• Collaborate with staff from other legal aid agencies and the Legal Aid Association of California to integrate efforts and support the ongoing development of the Disaster Legal Assistance Collaborative (DLAC) with a focus on strengthening the disaster assistance infrastructure for the State of California.• Use various software tools like Aderant, Adobe Acrobat, Automated City Register Information System (ACRIS), and Case Management Software for efficient processing and management of data.• Manage billing functions and claim administration using CompuLaw.• Exhibit excellent communication and calendar management skills for effective coordination and briefing.

Medical Financial Screener A Healthcare Company in Long Beach is looking for a proficient Medical Financial Screener. The main role of the Medical Financial Screener will be to guide patients through financial options, verify their eligibility for Medi-Cal, and ensure coverage for medical services. This is a crucial role in providing a seamless healthcare experience for individuals and families while supporting the organization’s operations. Responsibilities: • Regularly update knowledge on changes to Medi-Cal policies, eligibility requirements, and healthcare regulations.• Verify patient's financial status, required documentation, and insurance eligibility for services.• Explain coverage options to patients, guiding them through the application or enrollment process.• Conduct financial screenings for patients to assess their eligibility for Medi-Cal and other programs.• Aid patients in navigating financial options and completing Medi-Cal applications in a timely and accurate manner.• Work collaboratively with billing departments and other staff to ensure accurate coding, claims processing, and compliance with Medi-Cal regulations.• Maintain detailed records of screenings and interactions while following HIPAA standards.• Serve as a reliable point of contact for patients with inquiries about Medi-Cal application status or coverage benefits.

Billing Specialist A company in Santa Clarita is looking for a Billing Specialist, your primary responsibilities will revolve around issuing invoices and credit memos, generating monthly statements, and maintaining accurate customer records. This role involves active participation in special projects and ongoing process development initiatives. Key ResponsibilitiesBilling Operations:Audit and reconcile data to ensure invoice accuracy.Generate invoices in QuickBooks using reconciled data from Excel-based billing worksheets.Assist with client invoice reviews and conduct periodic audits as needed.Validate that billing templates align with client-specific requirements, ensuring consistent invoicing practices.Customer Account Management:Maintain up-to-date contact records in the customer master file.Create and issue customer deposit invoices as needed and identify deposit trends.Client Relations:Work with Client Services teams to review disputes and resolve billing inquiries.Respond promptly to customer questions and follow up with appropriate communication regarding billing and payments.Collaboration:Share insights with management by reviewing and discussing invoices.Contribute ideas towards improving and streamlining workflows across the department.Special Assignments: Support additional tasks and projects as determined by management.

Attorney/Lawyer Are you a California-licensed attorney looking to join a friendly, upbeat, and thriving lemon law defense firm? We are excited to offer an indefinite contract employment opportunity in a hybrid remote capacity—working two days in-office per week while enjoying flexibility for remote work the rest of the time. In this role, you’ll actively contribute to civil litigation by managing critical aspects such as discovery, drafting motions (templates available), and working up case files. There will be no appearances or depositions of any kind. If you're detail-oriented, tech-savvy, and ready to make a meaningful impact within a collaborative team, we’d love to hear from you! Send your resume to Didi.Moore[at]Roberthalf[.com] Key Responsibilities:<ul><li>Provide legal support to lemon law cases as part of an assigned team of attorneys and law clerks.</li><li>Oversee discovery processes, draft motions, and handle litigation documentation.</li><li>Represent the firm during court proceedings as needed.</li><li>Utilize tools such as Adobe Acrobat and 3M to manage legal documents efficiently.</li><li>Operate case management software to ensure streamlined handling of matters.</li><li>Engage in claim administration and complaint handling related to consumer electronics.</li><li>Leverage Conveyancer software for precise processing of legal documents.</li><li>Prepare and present updates on ongoing cases and relevant legal developments.</li></ul>What We Offer:<ul><li>A chance to work with a collaborative and upbeat team in a thriving legal environment.</li><li>Flexibility to choose between on-site, remote, or hybrid work models, with a requirement for two in-office days per week.</li><li>Opportunity to develop and refine your expertise in lemon law defense and civil litigation.</li><li>A long-term contract position with room for growth and development.</li></ul>What We’re Looking For:<ul><li>California Bar License is a requirement.</li><li>Experience in civil litigation, including discovery and motion practice.</li><li>Strong communication and organizational skills.</li><li>Tech-savviness and proficiency in platforms like Adobe Acrobat, 3M, and Conveyancer.</li></ul>Join our team and further your legal career with a firm that values collaboration, adaptability, and diversity. Apply today for this career-enhancing opportunity! About Us:We pride ourselves on creating an environment that fosters teamwork, professional growth, and a client-focused approach to lemon law defense. With a strong focus on delivering efficient results and maintaining a positive workplace, we’re building successful careers and long-lasting relationships with our team members.

ADA & Workers Compensation/ Human Resources Administrator Position Details Title: Workers’ Comp & Disability Analyst Location: Los Angeles, CA 90004 Hybrid Role Schedule: permanent | Non-Exempt Driving Required About the Role As a key member of the Human Resources team, the Workers’ Comp & Disability Analyst will be responsible for administering and coordinating Workers’ Compensation (WC) claims and ADA accommodations for employees. Key Responsibilities: Serve as the primary contact for Workers’ Compensation claims and ADA accommodations, providing guidance to employees and supervisors. MUST HAVE EXPIRIENCE WITH ADA Oversee all aspects of Workers’ Compensation claims, ensuring compliance and timely processing in coordination with third-party administrators and legal counsel. Work closely with employees, HR Business Partners, managers, and healthcare professionals to evaluate accommodation requests and assess job-related limitations. Facilitate interactive discussions with employees and managers to determine appropriate accommodations in line with ADA guidelines. Research and implement workplace modifications, assistive devices, flexible work arrangements, and other accommodations. Coordinate ergonomic assessments and support employees with restrictions or disabilities. What You Bring We’re looking for candidates with: Analytical Skills & Attention to Detail: Ability to assess claims and accommodation requests with precision. Collaboration & Teamwork: Strong interpersonal skills to build positive working relationships. Communication Skills: Clearly convey information both verbally and in writing. Creativity & Initiative: Proactively address challenges and develop innovative solutions. Critical Thinking & Problem Solving: Evaluate situations and make sound decisions. Ethics & detail oriented Boundaries: Maintain integrity and professionalism in all interactions. Preferred Qualifications Bachelor’s Degree in business administration, human resources, or a related field Experience working in a nonprofit environment Previous experience managing a high volume of Workers’ Compensation and disability cases Certification in Disability Management or Workers’ Compensation (e.g., CPDM or CWCP) Familiarity with HRIS systems (UKG Inova preferred)

Surgery Medical Biller/Collections Specialist A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. DUTIES AND RESPONSIBILITIES -Performs full cycle billing and collection functions for Surgical professional fees -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission -Performs all data entry and charge posting functions for surgical services as needed -Performs all third party follow-up functions for all products and surgical procedures. -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing. -Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation. - Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons

DMH Medical Billing Collections Specialist Our organization is looking for a diligent and competent Behavioral Health Medical Biller with DMH (Department of Mental Health) experience. The Behavioral Health Medical Biller will be responsible for helping us deal effectively and efficiently with all billing procedures associated with behavioral health services. The right person for this role must have experience with DMH (Department of Mental Health). Responsibilities: <ul><li>Accurately bill client services to various insurance companies, both electronically and on paper.</li><li>Ensure the timely submission of claims and follow up on unpaid claims.</li><li>Understand and apply behavioral health coding and identify errors.</li><li>Review and monitor unpaid claims.</li><li>Prepare, review, and send patient statements.</li><li>Resolve patient complaints or explain charges to patients' families.</li><li>Ensure compliance with current healthcare regulations, medical laws, and high ethical standards.</li><li>Communicate with clinicians and other healthcare providers on billing issues.</li><li>Evaluate client's financial status and establish budget payment plans.</li></ul>

Controller We're Hiring a Controller! Take the Lead in Financial Management in Torrance, CA! Are you a financial expert looking to take your career to the next level? We're on the hunt for a dynamic, detail-oriented Controller to join our team in the thriving Torrance area. If you're ready to bring your accounting and leadership skills to a growing company, this is your chance to make a major impact! What You'll Do: Drive Financial Reporting: Prepare and manage financial statements, balance sheets, and income statements for ownership review. Your expertise will ensure top-notch accuracy! Master Cash Flow Management: Analyze cash flow data and perform bank reconciliations to guide executive decisions and ensure the company’s financial health. Lead Tax Preparation: Take the lead on preparing and filing P/R Tax Returns, Sales Tax Returns (for AZ and CA), and tax filings for LLCs, ensuring 100% compliance with all tax regulations. Guide and Manage Accounting Staff: Oversee a small, but mighty team (Credit Manager) and ensure smooth operations in accounts payable and invoicing. Shape Financial Policies: Develop and implement financial policies and accounting procedures. Set up systems for checks and balances to enhance operational efficiency. Ensure Compliance: Stay on top of financial regulations and ensure that financial reporting and operations comply with all laws and accounting principles. Own Payroll Processing: Manage weekly and semi-monthly payroll, calculate commissions for outside sales, track vacation/PTO/sick days, and ensure payroll tax filings are timely. HR-Related Duties: Oversee new permanent paperwork, handle terminations, manage 401k contributions, insurance renewals, and assist with employee benefits and COBRA processes. Manage Insurance: Stay on top of Liability and Workers' Compensation Insurance renewals, and assist with claims and filings when necessary. What You Bring: Proven experience in financial management and accounting (experience as a Controller is a plus!) Strong leadership and organizational skills Expertise in financial reporting, tax preparation, payroll processing, and compliance Ability to handle multiple responsibilities in a fast-paced environment Excellent communication skills and the ability to work with all levels of the organization A passion for accuracy and continuous improvement Why Join Us? Impact: Your role will be integral in driving financial success and ensuring operational efficiency. Growth: Take your skills to new heights with opportunities for advancement and development. Culture: Join a friendly, collaborative, and dynamic team in a thriving industry. If you're ready to take charge of our financial future, apply today and become a key player in our success story! For confidential consideration, please email your recruiter with Robert Half. If you're not currently working with anyone at Robert Half, please click "Apply" or call 562-800-3963 and ask for David Bizub. Please reference job order number 00460-0013164223 . email resume to david.bizub@roberthalf.c0m

Billing Clerk Job Description: Billing ClerkPosition Overview:A company in the Burbank area is looking for a detail-oriented and proactive Billing Clerk to join our team. The ideal candidate will excel in handling billing processes, resolving exceptions, and ensuring accurate and timely invoicing. This position requires strong technical skills, excellent communication abilities, and familiarity with billing platforms. Data Analysis: Leverage advanced Excel functions such as pivot tables and VLOOKUPs to analyze and manage billing data effectively.Customer Service: Maintain professional and clear communication with clients to resolve billing-related concerns and provide outstanding service.System Proficiency: Utilize Oracle Customer Care and Billing (CC& B) software to oversee account management and ensure proper billing procedures.Compliance: Ensure all billing activities are aligned with company policies and regulatory requirements.Collaboration: Partner with internal teams, including accounting and customer service, to address billing-related inquiries and streamline operations.

Case Manager We are offering a contract to hire employment opportunity for a Bilingual Spanish Case Manager in Torrance, California. This role is crucial in our team, specifically in the client service sector. The primary function of this role includes providing exceptional customer support, engaging new clients, and offering access to additional resources for clients and their families. Responsibilities: • Deliver superior customer service assistance to ensure client satisfaction.• Engage new clients during the intake process to foster increased participation in treatment.• Advocate for and provide access to additional resources for clients and their families, based on detail oriented assessment and service planning.• Address and resolve any issues that may hinder client attendance.• Support various departments within the organization as needed, ensuring seamless operations.• Uphold a high level of professionalism and sensitivity when dealing with clients.• Establish supportive relationships with clients, staff, and external entities to secure necessary resources.• Adhere strictly to company policies and procedures while carrying out all duties.• Manage client data entry and organize files to maintain accurate client records.• Use Microsoft Office tools (Excel, Outlook, PowerPoint, Word) proficiently to support administrative tasks.

Billing Clerk We are offering a temp to hire employment opportunity in Los Angeles, California, for a Billing Clerk. The role is primarily focused on generating client billing and working closely with the Finance and Production teams. Responsibilities: • Carefully processing various studio payment platforms for final invoice submission.• Regularly reconciling employee hours with logs of billable services and correcting any inaccurate information.• Handling collections and regularly following up with studio and network clients on payment status.• Taking charge of generating invoices for client submission.• Ensuring billing is prepared and sent in the correct format and structure to clients, adhering to policy and procedure.

Billing Analyst We are in search of a Billing Analyst to join our team situated in Encino, California. This role lies within the realm of accounting and tax advisory, where you will play a key part in the handling of billings, accounts receivable, and various administrative tasks. Responsibilities: • Facilitate the processing and electronic filing of tax returns, involving the download of tax documents via various software systems • Take charge in the preparation and dispatch of tax organizers during tax season • Manage the assembly and postage of client tax return copies • Act as a point of contact for the tax team, providing assistance when required • Oversee the entry of daily deposits, accounts receivable, and billing adjustments, ensuring a precise reconciliation process and documentation • Handle client billing duties, including the dispatch of invoices via mail or email and monitoring payments • Be responsible for the scanning and electronic filing of tax returns and supporting documents.

Medical Biller Collector - Bilingual Spanish Are you a detail-oriented and bilingual professional with experience in medical billing, insurance collections, and charge entry? A Healthcare Organization in Los Angeles seeking a Medical Biller Collector to join our client’s healthcare team. This role is ideal for someone thrives in Medical Billing and Collections. Spanish-English bilingual ability is essential for seamless communication with a diverse patient population.Key Responsibilities:<ul><li>Process and submit insurance claims accurately and promptly.</li><li>Perform charge entry and ensure documentation of medical billing is precise and follows compliance standards.</li><li>Investigate, follow up, and collect on outstanding insurance claims to ensure timely reimbursements.</li><li>Communicate effectively with patients, insurance companies, and healthcare providers to resolve billing and payment concerns.</li><li>Maintain knowledge of up-to-date healthcare billing regulations, including ICD and CPT coding.</li><li>Utilize Electronic Medical Records (EMR) systems such as Cerner, Epic, or similar platforms.</li></ul>

Case Manager One of the NICEST law firms seeks Bilingual Spanish Case Manager! Law firm with multiple offices seeks Law Firm Case Manager to handle intake, case management, scheduling, etc. 40 hours per week and onsite in Downtown LA. Salary up to $37/hour + STRONG benefits' package! Placed a candidate 6 years ago that is still there and been promoted! TO APPLY, ONLY send resume directly to Vice President of Direct Hire, Samantha Graham at Samantha [dot] Graham [at] RobertHalf [dot] [com]

100% Remote CA Barred Insurance Coverage Opinion Atty Firm seeks Coverage Opinion Writing Attorney (No Litigation) This Attorney opening involves working closely with insurers to provide expert advice and analysis on insurance coverage matters. The ideal attorney will have a deep understanding of various insurance policies and be adept at drafting comprehensive coverage opinions. Key Responsibilities:<ul><li>Collaborate with insurers to provide advice on insurance coverage and interpret policies.</li><li>Analyze various types of insurance policies across an array of industries.</li><li>Draft detailed coverage opinions based on policy analysis and contract interpretation.</li><li>Maintain effective communication with clients and internal team members.</li></ul> Billable hour target: 1850/year Can work 100% remote in US (PST work hours) Perks of Firm:<ol><li>Established for over 30 years</li><li>Multiple offices with large firm resources</li><li>Women-owned firm</li></ol>

Billing Clerk We are offering a permanent employment opportunity for a Billing Clerk in the Construction/Contractor industry based in Compton, California. The role primarily involves handling and processing paperwork, interacting with drivers, and ensuring documentation is accurate and clear. Responsibilities: • Accurately process customer credit applications in a timely manner. • Maintain and update customer credit records for accuracy. • Address and resolve customer inquiries and concerns. • Monitor customer accounts and take necessary actions as needed. • Verify shipment information and orders returned from drivers. • Calculate hours and drive time for accurate billing purposes. • Utilize various software systems including Accounting Software Systems, Computerized Billing, EHR SYSTEM, and Epic Software for daily tasks. • Handle billing related tasks including Billing Collection, Billing Statements, and use of Billing System. • Perform accounting functions as necessary. • Handle project billing and progress billing tasks.

Billing Coordinator We are seeking a Billing Coordinator to join our team within the legal industry. The role is based in Los Angeles, California and is an integral part of our finance operations. As a Billing Coordinator, you will be primarily responsible for generating, editing, and preparing monthly pre-bills, invoices, and appeals for submission to clients. You'll also need to demonstrate expertise in electronic billing and handle complex billing arrangements. Responsibilities: • Collaborate with clients, attorneys, and staff to generate, distribute, edit, finalize, and submit legal bills through various methods. • Conduct client billing and collection activities for assigned clients in a timely fashion. • Keep track of unbilled fees for assigned partners and/or clients. • Resolve any billing-related issues with both internal and external parties. • Work closely with other members of the Finance team to address questions related to the firm's billing process. • Prepare and maintain billing reports, reconciliations, schedules, and analyses. • Apply retainer funds and process write-offs in accordance with Firm policy. • Create new billing formats and handle special projects as requested, including complex billing and client-driven requests. • Utilize legal billing software and other accounting software systems efficiently. • Use Microsoft Excel and other tools for various financial functions. • Demonstrate expertise in electronic billing and automated billing systems.

Billing Clerk We are offering a long-term contract employment opportunity for a Billing Clerk in the construction/contractor industry, based in Corona, California. This role involves processing and updating rental contracts, tracking equipment, and handling billing inquiries. Responsibilities: • Efficiently process cycle and full return billing daily • Handle the posting of shipment orders upon equipment delivery • Diligently update rental contracts with delivery and pickup times • Manage the creation of additional collection orders when needed • Track damaged equipment and update respective contracts with repair charges • Address all billing-related inquiries and concerns promptly and professionally • Scan and send shipment orders to the corporate office • Maintain and review reports on hold contracts, open shipment orders, open collection orders, open sales orders, and open work orders • Ensure accurate record keeping by filing drivers' logs and collection orders • Allocate returned equipment to the appropriate rental contracts • Review and post rental orders on a daily basis.