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Medical billing and coding Jobs in Ventura, CA

Last updated: 3 days ago
  • Promoted
Reimbursement Specialist (Medical Billing) - 901

Reimbursement Specialist (Medical Billing) - 901

Telecare CorporationVentura, CA, United States
$25.00–$32.00 hourly
Full-time
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals with complex needs in recovering their health, hopes, and dreams.Telecare continues to ad...Show moreLast updated: 10 days ago
  • Promoted
OBGYN and Medical Director

OBGYN and Medical Director

CommonSpirit Health at HomeOxnard, CA, United States
Dignity Health's Pacific Central Coast Health Centers (PHC) is a non-profit community clinic organization that provides a wide range of primary and specialty care services.With nearly 50 health cen...Show moreLast updated: 15 days ago
  • Promoted
OBGYN and Medical Director

OBGYN and Medical Director

Dignity HealthOxnard, CA, United States
Dignity Health's Pacific Central Coast Health Centers (PHC) is a non-profit community clinic organization that provides a wide range of primary and specialty care services.With nearly 50 health cen...Show moreLast updated: 15 days ago
  • Promoted
X-Ray Tech and Medical Assistant

X-Ray Tech and Medical Assistant

Akeso Occupational HealthOxnard, CA, United States
$21.00–$35.00 hourly
Full-time
Perform radiological duties in compliance with x-ray department and legal requirements.Help patients feel comfortable during the entire process. Perform selected nursing and administrative / clerical ...Show moreLast updated: 14 days ago
  • Promoted
Medical Assistant

Medical Assistant

PediatrixVentura, CA, United States
$22.00–$27.88 hourly
Full-time +1
The Medical Assistant supports patient care by taking medical histories, accurately capturing and documenting patient vital signs, requesting and updating patient medical records, filing communicat...Show moreLast updated: 30+ days ago
  • Promoted
Medical Billing and Coding - Entry Level Training Program

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.San Buenaventura, California
This is an educational program, not a job offer.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to s...Show moreLast updated: 30+ days ago
  • Promoted
OBGYN and Medical Director

OBGYN and Medical Director

CommonSpirit HealthOxnard, CA, United States
Dignity Health's Pacific Central Coast Health Centers (PHC) is a non-profit community clinic organization that provides a wide range of primary and specialty care services.With nearly 50 health cen...Show moreLast updated: 11 days ago
Senior Billing Specialist

Senior Billing Specialist

Paul, Weiss, Rifkind, Wharton & Garrison LLPCalifornia, United States
$80,000.00–$103,000.00 yearly
Senior Billing Specialist-(24000167).They will review time and disbursement records and address compliance issues, collaborate with attorneys, clients and colleagues, and address requests and speci...Show moreLast updated: 30+ days ago
ACTIVITY COORDINATOR, VETERANS HOME AND MEDICAL CENTER

ACTIVITY COORDINATOR, VETERANS HOME AND MEDICAL CENTER

Department of Veterans AffairsLos Angeles County, US
This is an exciting opportunity to join our team at the California Department of Veterans Affairs (CalVet), where we proudly serve California’s 1. We advocate with purpose and passion every day for ...Show moreLast updated: 30+ days ago
  • Promoted
Charge Poster - Medical Billing

Charge Poster - Medical Billing

Community Memorial Health SystemVentura, CA, United States
$21.13–$29.42 hourly
Full-time +1
The pay range above represents the lowest possible rate for the position and the highest possible rate.Factors that may be used to determine where newly hired employees will be placed in the pay ra...Show moreLast updated: 30+ days ago
E-Billing Coordinator

E-Billing Coordinator

CRESCENT SOLUTIONSCalifornia, US
Major international legal outfit headquartered in Los Angeles needs immediately E-Billing professional with experience working in a mid to large size firm. Must have a minimum of three years of curr...Show moreLast updated: 30+ days ago
Senior Coding Quality Educator •Remote •

Senior Coding Quality Educator •Remote •

ProvidenceCA, United States
$39.32 hourly
Remote
Full-time
Providence caregivers are not simply valued – they’re invaluable.Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect...Show moreLast updated: 30+ days ago
Hierarchical Condition Category (HCC) Coding Specialist

Hierarchical Condition Category (HCC) Coding Specialist

Highmark HealthCA, Working at Home, California
$41.03 hourly
Full-time
This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills inclu...Show moreLast updated: 30+ days ago
Guidewire Billing Center Product Manager BSA

Guidewire Billing Center Product Manager BSA

E-SolutionsCalifornia, United States
Hello, Role-Guidewire Billing Center Product Manager BSA Remote.We are seeking a highly skilled and experienced Guidewire BillingCenter Business Architect to join our team The ideal candidate will ...Show moreLast updated: 30+ days ago
Medical Receptionist

Medical Receptionist

California Retina ConsultantsOxnard, US
Full-time
Medical Receptionist Our Medical Receptionist assists our patients by checking them in and out of appointments, handling patient referrals, scheduling appointments, insurance authorizations, and ma...Show moreLast updated: 3 days ago
Group Billing Processor

Group Billing Processor

TALENT Software ServicesRemote, CA
Remote
In this role, our representatives are responsible for the billing, reconciliation, and issue / inquiry resolution of individual policies. The representatives are responsible to ensure that bills are r...Show moreLast updated: 30+ days ago
  • Promoted
Sr Director, Medical and Strategic Initiatives

Sr Director, Medical and Strategic Initiatives

ComcastCA, United States
Comcast brings together the best in media and technology.We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of ...Show moreLast updated: 11 days ago
Billing Coordinator - Fountain Valley, CA

Billing Coordinator - Fountain Valley, CA

MSX InternationalCA, US
$25.00–$29.00 hourly
Location : Fountain Valley, CA, US.Job Type : Full-time with Benefits.We are MSX International – a leading, global provider of technology-enabled business process outsourcing (BPO) services to automo...Show moreLast updated: 30+ days ago
Medical Director (Medical Affairs)

Medical Director (Medical Affairs)

CVS HealthCalifornia, Work At Home, US
Remote
Full-time
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
Medical Assistant

Medical Assistant

California Skin Institute Management LLCOxnard, CA, USA
$21.00–$28.00 hourly
Quick Apply
California Skin Institute (CSI) is the largest and fastest growing private dermatology practice in California offering an unwavering commitment to excellence in medical, surgical, and cosmetic derm...Show moreLast updated: 30+ days ago
Reimbursement Specialist (Medical Billing) - 901

Reimbursement Specialist (Medical Billing) - 901

Telecare CorporationVentura, CA, United States
10 days ago
Salary
$25.00–$32.00 hourly
Job type
  • Full-time
Job description

Description

  • THIS ROLE WILL BE REMOTE

Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals with complex needs in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.

Full Time; AM 8 : 30 am - 5 : 00 pm; Monday - Friday

Target hiring salary wage range $25.00 - $32.00 per hour - Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.

POSITION SUMMARY

The Reimbursement Specialist is responsible for all billing and collection activities for assigned fee for service / third party facilities, including Medicare and Medi-Cal / Medicaid, counties, commercial insurance and members served. Keeps up to date on all applicable CPT and other coding changes, fee for service and / or contract billing rates and communicates those changes to all affected parties at Telecare. There may be some travel to locations where Telecare does business or plans to do business.

ESSENTIAL FUNCTIONS

  • Demonstrates the Telecare mission, purpose, values and beliefs in everyday language and contact with internal and external stakeholders
  • Assists in developing the overall philosophy and objectives of accounts receivable services in accordance with the corporate mission
  • Responsible for performing all of the billing and collection activities for assigned programs, ensuring timely and accurate billing, including :
  • o Confirming census, financial eligibility data, authorizations

    o Completing paper and / or electronic billing to multiple payers

    o Posting payments, manually and electronically

    o Identifying under / overpayments and process refunds

    o Responding to claim denials in a timely manner

    o Running aging reports for collection call identification, completing collection calls and making follow up note entries

    o Identifying bad debt and completing write off requests

    o Identifying / completing billing adjustments

    o Issuing client statements

    o Completing month end reconciliation

  • Collaborates with other management staff in strategic planning or development activities with the goal of ensuring ongoing effective billing and reimbursement
  • Serves as active member of the Financial Review Committee, creating the agenda and leading the discussions about the pending receivables
  • Promotes and maintains harmonious and effective relationships and communications within the department, with other departments, with government representatives and with customers
  • Consistently updates knowledge of regulations, procedures and standards to assure compliance with contractual obligations and directives from governmental and regulatory agencies, fiscal intermediaries and contracting entities
  • Manages all third-party denials and appeals, making certain that all appeals are completed on an accurate and timely basis
  • Provides technical support and oversight of third-party reimbursement functions performed at the program level, especially for new programs
  • Works with the Billing Manager to implement and maintain written policies and procedures so that the appropriate submission, billing and payment cycle of client accounts are maintained
  • Actively participates in meeting customer needs and adapting to changing customer needs at all times
  • Participates as a Revenue Cycle Department member and provides input via reporting observations, concerns and asking appropriate questions
  • Appropriately applies rules and regulations in preparation of billings
  • Follows proper internal controls
  • Duties and responsibilities may be added, deleted and / or changed at the discretion of management.

    QUALIFICATIONS

    Required :

  • Five (5) years of prior medical billing experience or two (2) years of college and one (1) year of healthcare experience.
  • Extensive knowledge of Medicare, Medi-Cal / Medicaid and commercial insurances
  • A high level of PC literacy, especially in Excel and Word
  • The ability to operate independently, utilizing past extensive reimbursement experience and judgment
  • This position requires the demonstrated capacity to work with sophisticated automated billing systems
  • Applicant must be fingerprinted and receive clearance from the Department of Justice and The Office of inspector General
  • Must be at least 18 years of age
  • All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver's license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual, or local requirements may apply.
  • Preferred :

  • Bachelor's or AA degree
  • SKILLS

  • High level of computer literacy
  • Exceptional attention to details
  • Other necessary skills include analytical and problem solving skills, the ability to understand complex reimbursement structures and governmental regulations and the ability to work and communicate effectively with program staff, management staff, government representatives and members served
  • PHYSICAL DEMANDS

    The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

    The employee is constantly required to sit and occasionally required to stand, walk, reach, twist, bend, pull and lift and carry items weighing 10 pounds or less as well as to do simple grasping occasionally. The position requires manual deviation, repetition and dexterity, occasionally drives. Visual requirements include computers and books exposure.

    EOE AA M / F / V / Disability

    If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)