Medi-Cal Collections Specialist - Claims & Payer Liaison
University of California - Los Angeles Health
University of California - Los Angeles Health's Patient Business Services division seeks a Medi-Cal Fee For Service Collections Representative to manage a designated portfolio of inpatient and outpatient claims, ensuring effective collection efforts and timely reimbursements. You will conduct regular account reviews, communicate with payers and patients, and apply payer contracts and adjustments to maximize recovery while complying with AB1455, Knox-Keene Act, and health codes. #J-18808-Ljbffr University of California - Los Angeles Health
- UCLA Health in Los Angeles is seeking a Medi-Cal Fee For Service Collections Representative to manage a portfolio of inpatient and outpatient claims. You will drive timely collections, communicate with payers, patients and internal teams to resolve issues, and ensure accurate...Claims
$29.03 - $41.23 per hour
Patient Business Services As a Medi-Cal Fee For Service Collections Representative, you will manage a designated... ...of inpatient and outpatient claims, ensuring effective and efficient collection... ...communication with third-party payers to resolve reimbursement discrepancies...ClaimsHourly payContract workWork at office- Qualfon is seeking a detail-oriented Medi-Cal Claims Processing Specialist to review and resolve suspended claims accurately and efficiently. The ideal candidate will have knowledge of healthcare billing, strong analytical skills, and the ability to apply policies and regulations...ClaimsRemote job
- ...in Sherman Oaks, CA is seeking a Senior Government Payer Biller/Collector to handle billing and collections for government payers, ensure accurate documentation... ...with payer guidelines. You will follow up on claims, resolve rejections, and drive payments through account...ClaimsContract work
$24 per hour
Medi-Cal Claims Processing Specialist Overview Qualfon is a global provider of omnichannel customer experience and business support solutions. From call center support to lead generation to ecommerce fulfillment, we support our clients and their customers throughout the...ClaimsWork at officeLocal areaRemote workWork from home- ...Statement / Position Summary The Collection Representative is responsible... ...‑up related to HMO’s, PPO’s, Medi‑Cal, CCS, GHPP, PCCM’s Managed... ...including insurance and government payers. Preferred Qualifications Experience with facility claims for inpatient and/or...ClaimsRemote workMonday to Friday
- Medical Billing Specialist- Collector Location: Los Angeles... ...on unpaid or denied claims. Resolve claim denials... ..., denial codes, and payer billing requirements.... ...resolution. Document collection activities and identify... ...insurance, Medicare, Medi-Cal/Medicaid, and managed...ClaimsFull timeSecond jobWork at officeMonday to FridayFlexible hoursShift work
- ...EVERSANA. Job DescriptionThe Medical Science Liaison/Senior Medical Science Liaison is a... ...platform, or modality experience: Research, payer, value and evidence, or other specialized... ...e-mails, or even text messages claiming to be a legitimate company. Some of these...ClaimsLocal areaNight shift
- ...the world. The Patient Access Liaison (PAL) is a field-based patient access and reimbursement specialist responsible for supporting patients... ...stakeholders understand payer requirements, prior authorization... ...barriers, and denied claims. Provide education regarding coding...ClaimsFull timeWork at officeLocal areaRemote workWorldwideFlexible hoursNight shift
- ...DescriptionThe EVERSANA Medical Science Liaison/Senior Medical Science... ...clinics and retinal specialists that are involved with the treatment... ..., formulary member or payer.Provide medical support, clinical... ...mails, or even text messages claiming to be a legitimate company. Some...ClaimsLocal areaNight shift
- ...professional provider-side insurance collections, Accounts Receivable (AR)... ...position requires advanced payer knowledge and the ability to... ..., rejected, and denied claims through final resolution. Essential... ...insurance, Medicare, Medi-Cal/Medicaid, Medicare Advantage,...ClaimsFlexible hours
- ...looking for an experienced Medical Biller/Collections Specialist to support a busy revenue cycle team in... ...receivable performance by resolving claim issues, pursuing outstanding balances,... ....• Ensure billing activity aligns with payer rules, regulatory standards, and established...Claims
- ...Infusion Services is seeking a remote Home Infusion Billing Specialist to collect home infusion claims, reduce denials, and improve cash flow. The role... ...benefits and opportunities for growth while utilizing payer portals, denial management, and revenue cycle processes...ClaimsRemote jobFull time
- CHA Hollywood Presbyterian Medical Center is seeking a healthcare collections specialist in Los Angeles to contact insurers, payers, and patients for unpaid claims. The role requires organizing daily workloads and providing necessary documentation to minimize delays in...Claims
- ...Hollywood Presbyterian Medical Center is seeking a dedicated insurance collections specialist to pursue payments on unpaid claims. The role requires organizing daily workloads, communicating with payers and patients, and providing required documentation to maximize...Claims
- Hollywood Presbyterian is seeking a Full-Time Insurance Collections Specialist in Los Angeles to contact insurance companies, payers, and patients for payment on unpaid claims. The role emphasizes maximizing collection by prioritizing daily tasks and maintaining necessary...ClaimsFull time
- ...Prime Healthcare, is seeking a Senior Collector to manage billing, follow-up, and payment collection in accordance with payer guidelines. You will maintain deficiency lists, resolve claim rejections, and ensure end-to-end billing through account closure. Requirements...Claims
- ...professional with expertise in code abstraction, Medi-Cal, and Hospital UB-04 billing and coding... .... Ensure coding compliance with payer, state, and federal regulations. Apply knowledge... ...review coding related to Hospital UB-04 claims. Collaborate with clinical and revenue...ClaimsRemote work
- ...responsible for accurately and timely submitting claims for all Gateways Hospital and Mental... ...interchange claims, including Medicare, Medi‑Cal, commercial insurance, and Drug Medi‑Cal... ...with county, state, federal, and payer billing requirements; processes claims; researches...ClaimsWork at office
$30 - $40 per hour
...Manage case files, including opening/closing files, calendaring events, insurance claims, and case development. Resolve property damage (PD), loss-of-use claims, and coordinate Medi-Cal/Medi-Care lien reporting and resolution. Prepare complete files for demand...Claims- ...be responsible for: · Opening insurance claims and sending letters of representation ·... ...Monitoring clients' medical treatment · Collecting medical records and bills · Engaging with clients regularly · Opening Medi-Cal & Medi-Care claims · MUST BE A PEOPLE PERSON...Claims
- Children's Hospital Los Angeles (CHLA) seeks a Collection Representative who will handle billing and follow-up related to various payers including HMO’s and Medi-Cal. This role demands strong problem-solving, organizational, and prioritization skills. The position supports...
- ...independently performs billing, claims submission, payment... ...submission. Applies payer-specific billing requirements, including Medi-Cal, Newborn Gateway, CPE,... ...Patient Statements & Collections: Thoroughly analyzes... ...(Patient Experience Specialists) on various projects....ClaimsWork at officeLocal areaImmediate start
- ...related outpatient services, helping ensure clean claims, reliable reimbursement, and strong compliance with payer and regulatory standards. The person in the... ...multiple specialties and remain current on payer rules, Medi-Cal guidance, CCS, Medicare requirements, and other...ClaimsRemote workMonday to Friday
- ...CA, part of Prime Healthcare, seeks a Senior Government Payer Biller/Collector to manage government and commercial payer billing and collections in a hospital setting. You will follow payer guidelines, resolve claim rejections, and ensure timely payment through proactive...Claims
- ...Angeles seeks a Patient Accounts Billing Representative II to submit electronic claims (Medicare, Medi-Cal, commercial insurance) for multiple programs. The role ensures compliance with payer requirements, resolves denials, verifies insurance, maintains billing records,...Claims
- ...highly skilled Reimbursement Specialist III in Beverly Hills, CA. You... ...securing accurate, timely financial collections and maximizing revenue cycle... .... You will liaise with payers, plans, and patients to ensure... ..., and can handle complex claims and appeals with minimal supervision...Claims
- ...Angeles, CA is seeking a Patient Accounts Billing Representative II to ensure accurate, timely submission of claims for Medicare, Medi-Cal, and commercial payers. You will verify eligibility, process denials, and support audits while collaborating with clinical and...Claims
$22 - $27 per hour
...all forms needed for insurance billing purposes, and collecting necessary documentation from clients. Location:... ...maintain a healthy billing cycle. Processes and submits claims, including Hospital, Physician, Medi-Cal, Managed Care, HMO/PPO, and out-of-state Medicaid, in...ClaimsHourly payDaily paidWork at office- REALIGN LLC in Woodland Hills, CA seeks a Healthcare System Analyst - Payer Systems with .Net & SQL experience to join onsite teams in... ...focuses on Eligibility & Enrollment, provider contract pricing, claims adjudication, billing, and appeals, with hands-on Facets system...ClaimsContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medi-Cal Collections Specialist - Claims & Payer Liaison. Be the first to apply!
- credit controller Los Angeles, CA
- credit collections specialist Los Angeles, CA
- collection specialist Los Angeles, CA
- revenue agent Los Angeles, CA
- debt collector Los Angeles, CA
- collection agent Los Angeles, CA
- collections representative Los Angeles, CA
- education liaison Los Angeles, CA
- rehab liaison Los Angeles, CA
- client liaison Los Angeles, CA



