Hospital Medical Billing Coordinator Job at Robert Half (Los Angeles)

Hospital Medical Collections Specialist

A Hospital in the San Fernando Valley are looking for an experienced Hospital Me...

Location

United States of America , Van Nuys

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of recent experience in hospital billing and medical collections
Hands-on knowledge of hospital revenue cycle processes, including claim follow-up, denial resolution, and appeals management
Experience working with multiple payer categories such as Medicare managed care, Medi-Cal managed care, and commercial insurance plans
Familiarity with HMO and PPO reimbursement structures in a hospital setting
Understanding of both inpatient and outpatient hospital accounts
Strong analytical skills with the ability to review account activity and identify barriers to payment
Effective communication and organizational skills to manage a high volume of accounts and payer interactions

Job Responsibility

Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement
Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution
Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage
Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims
Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution
Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables
Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan
Free online training

Fulltime

Medical Records Coordinator

This is an excellent entry-level legal opportunity for someone organized, profes...

Location

United States , Newport Beach

Salary:

28.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

Prior office experience required
Ability to work fully onsite
Strong organizational skills and professionalism
Detail-oriented with strong communication skills

Job Responsibility

Retrieve and organize medical records from hospitals, doctors’ offices, and other providers
Communicate with medical providers and clients regarding records requests and follow-up
Review records for completeness and identify gaps in treatment or documentation
Maintain and organize digital files and exhibits within the case management system
Ensure confidential handling of sensitive medical information
Assist with record summaries, chronologies, and billing summaries as needed
Work closely with attorneys and paralegals on active litigation matters

What we offer

Year-end bonus opportunity
Performance reviews with growth and raise potential
Medical, dental, and vision benefits
401(k) with employer contribution options
Paid parking
Paid holidays, vacation, and sick time
Employee appreciation events, team outings, and strong office culture

Fulltime

Patient Financial Specialist - Patient Financial Services

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred
None required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution

Fulltime

Charge Integrity Associate 1, BHPC Support

Primary responsibility is to coordinate billing services. Responsible for physic...

Location

United States , Coral Gables

Salary:

17.79 - 21.53 USD / Hour

Baptist Health

Expiration Date

Until further notice

Requirements

High School Diploma, Certificate of Attendance, Certificate of Completion, GED or equivalent training or experience required
2 Years of health care experience
Knowledge of Microsoft Systems Word, Excel, Power Point and Access is a must
Must be detail-oriented team player with excellent written and communication skills
Background in coding experience in other released areas such as collections, refunds, and reviews of claims and understanding of Charge Review responsibilities preferred
Experience in Medical Record review for documentation and bill auditing required
Proficient in English and Spanish
Able to foster/maintain a strong professional relation with physicians, hospital leaders, staff and patients
Must be able to communicate effectively with other departments in order to resolve pending/missing information on encounters to expedite the timely transmission to payers
Excellent Time- Management Skills

Job Responsibility

Coordinate billing services
Responsible for physician billing services
Responsible for physician billing services in handling payments
Provide diagnostic and procedural codes to individual patient health information for data retrieval, analysis and claims processing
Responsible for entering patient encounters to the practice management billing application
Communicates with various teams within the organization
Understanding of ICD-10, CPT and associate modifiers to successfully process encounters
Staying up to date with CMS guidelines
Responsible to maintain and clearing worklist within a timely manner

Fulltime

Insurance Authorization Coordinator

We are looking for a highly organized Insurance Authorization Coordinator to sup...

Location

United States , San Bernardino

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience handling retro-authorization or insurance authorization work, ideally within a hospital or acute care setting
Strong working knowledge of Treatment Authorization Request procedures and related payer documentation standards
Ability to manage multiple cases at once while maintaining close attention to deadlines and detail
Effective written and verbal communication skills for interacting with insurance payers and cross-functional hospital teams
Experience reviewing medical or billing documentation to support authorization submissions and follow-up activity
Proficiency with administrative tasks such as record maintenance, document scanning, and case tracking in healthcare systems
Must have TAR experience

Job Responsibility

Prepare and submit retroactive authorization requests for hospital services, ensuring each case includes complete and accurate supporting information
Monitor open, pending, and denied authorization cases, and take timely action to follow up with payers and internal stakeholders
Partner with care teams and administrative staff to gather clinical records and other required documents needed for review
Communicate with insurance representatives by phone and in writing to clarify case details, address discrepancies, and obtain determinations
Maintain organized and up-to-date authorization records within hospital systems, including scanned documents and status updates
Review requests against hospital guidelines and applicable regulatory standards to support compliant processing practices
Track payer responses and escalate urgent or complex cases when additional review is needed to avoid delays in approval
Keep current with changes in authorization procedures, including Treatment Authorization Request processes and payer-specific requirements

What we offer

Medical
vision
dental
life and disability insurance
401(k) plan

Practice Manager Multispecialty

Headquartered in Phoenix IMS Care Center is a team of 500 employees, and a physi...

Location

United States , Glendale

Salary:

Not provided

Integrated Medical Services, Inc.

Expiration Date

Until further notice

Requirements

Assume overall responsibility for division employee management and staffing including all providers, medical assistants, and administrative staff
Determine staffing standards based on patient care needs, patient flow, procedures and other clinical needs
Interview, select and hire new employees
Work with Human Resources to ensure compliance with state and federal requirements for clinical and non-clinical staff
Responsible for evaluating staff performance, developing standards and ensuring basic competencies for all staff
Establish credibility and a strong presence in the division
Identify potential problem areas, develop a system for objectively monitoring performance and creatively seek solutions to foster quality improvement
Continuously optimize staff roles and responsibilities to meet performance goals
Develop and maintain an open effective line of communications with providers and clinical staff
Develop and optimize the physician templates for appropriate patient scheduling

Job Responsibility

Assume overall responsibility for division employee management and staffing including all providers, medical assistants, and administrative staff
Determine staffing standards based on patient care needs, patient flow, procedures and other clinical needs
Interview, select and hire new employees
Work with Human Resources to ensure compliance with state and federal requirements for clinical and non-clinical staff
Responsible for evaluating staff performance, developing standards and ensuring basic competencies for all staff
Establish credibility and a strong presence in the division
Identify potential problem areas, develop a system for objectively monitoring performance and creatively seek solutions to foster quality improvement
Continuously optimize staff roles and responsibilities to meet performance goals
Develop and maintain an open effective line of communications with providers and clinical staff
Develop and optimize the physician templates for appropriate patient scheduling

What we offer

medical
dental
vision
short-term and long-term disability
life insurance
paid time off
401K plan

Fulltime

Service Order Manager

Primary Job Functions\u00a0\n\nDescription\n\nPlanning, researching, and coordin...

Location

United States , Ft. Sam Houston

Salary:

80000.00 - 100000.00 USD / Year

CBRE Government & Defense Services

Expiration Date

Until further notice

Requirements

Possess advanced knowledge and understanding of all aspects of medical facility repair, construction and facilities management to include the following disciplines: mechanical, electrical, plumbing, communications, security systems, and landscaping
Completion of OSHA 30 Hour course
Proficient in Microsoft Word, Excel, PowerPoint and Project
Ability to read, write, speak and understand English
Advanced written and oral communication skills
Ability to prioritize essential tasks
5 years' experience in health care construction, renovation and maintenance and repair project management in a hospital environment, including the supervisory experience over a diversified workforce
Must be technically qualified in healthcare facilities management
Familiar with the various codes and standards applicable to the O&M tasks covered by the performance work statement, NFPA, EPA and Occupational Safety and Health Administration (OSHA) codes, standards and TJC for hospital accreditations
Experience in the federal government design and construction management policies and procedures to include: Air Force MTF design standards, bid preparation, bid solicitation, bid evaluation and selection, award, inspection, acceptance and project close-out

Job Responsibility

Planning, researching, and coordinating the project activities to ensure service order and task order objectives are accomplished within the prescribed time frame and funding parameters
Review service order quotes or plans in order to determine the project time frame, funding limitations, and procedures for accomplishing project, staffing requirements, and allotment of available resources to various phases of project
Establish work plans and staffing requirement(s) for each phase of the project and arrange for recruitment and / or assignment of subcontract project personnel where applicable
Confer with subcontract project staff to outline work plans and assigned duties, responsibilities, and scope(s) of authority
Lead preconstruction and project coordination meetings with end users and FM staff, various mid to high level government staff and contractors
Develop market research for invitation(s) to bid (ITB) and then recommend to the COR and award contract(s) to the optimum bidder(s)
Develop Independent Contractor Estimates (ICE) for the CORS comparative analysis of contractors’ proposals
Direct and coordinate activities of project personnel to ensure projects progress on schedule and within budget
Develop and maintain monthly requirements and project status reports for briefing to the FM staff and higher-level government management
Modify project schedules, plans, and assigned personnel as required

What we offer

medical
well-being
financial planning
short-term incentives benefits

Fulltime

New

Patient Access Services Representative

Patient Access Services Representative- Wyatt GI Job Category Clerical Schedule ...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED)
completion of vocational medical office training desired
or an equivalent combination of relevant education and experience
Preferred one (1) year of medical office and/or hospital experience to include healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery
Some positions may require certification as a Medical Assistant (CMA)
Knowledge of office management practices, including billing and scheduling within healthcare
Knowledge of basic computer familiarity and experience and the ability to operate basic office equipment
Knowledge of patient care protocols and practices
Knowledge of general patient care practice, methods and regulations
Skill in evaluating patient's needs or following up with a care-giver and then providing follow up support to patients

Job Responsibility

Assists medical care givers with patient management, tracking and monitoring requirements
Answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments
Perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities
Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff
adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication
Collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates
ensures that cash handling follows corporate policies
Ensures completion of financial documentation in accordance with TMCH's credit and collection policies
Explains all necessary compliance forms and obtains patient signature as required for regulatory agencies
Performs medical necessity screening and ensures compliance with system requirements

Fulltime

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Hospital Medical Billing Coordinator

Job Description

Job Responsibility

Requirements

Nice to have

What we offer

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