Pharmacy Billing Specialist - LTC Claims & Reconciliation
Nexus HR
Nexus HR is seeking a Pharmacy Billing Clerk in Sacramento, CA to manage billing operations in a fast-paced long-term care and assisted living pharmacy. Responsibilities include submitting insurance claims, posting payments, balancing accounts, and communicating with patients and facility staff. Requires 1 year of pharmacy billing experience, HS diploma, and proficiency with IPS, QS1, and Microsoft Office; strong data-entry and reconciliation skills are essential. #J-18808-Ljbffr Nexus HR
$24 - $26 per hour
...Health Group Department : Revenue Cycle / Billing FLSA Status : Non-Exempt, Full-Time Pay... ...revenue cycle for Clubhouse Services claims submitted under San Diego County's BH-CONNECT... ...; managing eligibility, denials, and reconciliation; and serving as the billing subject matter...ClaimsRemote jobHourly payFull timeContract workTemporary workLocal areaImmediate startMonday to Friday$18 - $22 per hour
...Pharmacy Billing Clerk - Sacramento, CA Compensation: $18 - $22 Hourly Overview: Nexus... .... This role involves processing claims, posting payments, following up on balances... ...accuracy in data entry and financial reconciliation. Qualifications: ~ Dental, Vision...ClaimsHourly payWork at office- ...Supervisor), the Senior Accounting Officer (Specialist) independently performs difficult... ...rules, Victims Compensation and Government Claims Board rules, General Accounting... ...handle multiple tasks. • Experience with reconciliations (Appropriation and Cash In State Treasury...ClaimsPermanent employmentFull timeTemporary workPart timeWork experience placementSummer workWork at officeRemote work
$145k - $180k
...Job Description Job Description Clinical Pharmacy Specialist, Oncology Join our Shields team today! Shields Health Solutions is... ...Provide comprehensive medication management, including reconciliation, dose optimization, adherence support, and drug‑level assessments...SuggestedHourly payTemporary workWork at officeLocal areaRemote workRelocation package- ...Biller The Medical Biller reports to the Billing Manager in person at out office in... ...billing rules. The Medical Biller manages claims from Pending Review through payment resolution... ...billing methodology. Payment Posting & Reconciliation Accurately post payments, contractual...ClaimsWork at officeRemote work
- ...assigned. Process receiving transactions on purchase orders; prepare daily trial balances, bank reconciliation's, profit and loss statements, and sales tax reports; maintain claims registers and general ledger journals for District funds, accounts payable, student refunds,...ClaimsTemporary workWork visa
- Via Care Community Health Center is seeking a Billing Specialist to manage submission of insurance claims, posting of payments, and handling patient accounts to ensure timely reimbursement. The ideal candidate will have a billing certificate or equivalent training, knowledge...Claims
- Nexus HR Services seeks a Pharmacy Sales Representative in Sacramento, CA. This role involves prospecting and developing relationships with long-term care facilities and healthcare organizations. The ideal candidate will have a minimum of 2 years of outside sales experience...
$4,570 - $4,850 per month
..., Probationary, Full Time RESPONSIBILITIES & DUTIES: Prepare reconciliations; update and maintain accounting tables and online functionality... ...and export advanced queries. Make journal entries, submit claims to the State Controller’s Office and prepare account analysis...ClaimsFull timeH1bWork at officeWork visa- Job SummaryThe Billing Specialist is responsible for submitting insurance claims, posting payments, and managing patient accounts to ensure accurate and timely reimbursement. This position works with patients, providers, and insurance companies to resolve billing issues...ClaimsHourly payWork at officeLocal area
- ...area! Our Sacramento location is seeking a full-time, on site, Billing Specialist.General Summary of Duties: Responsible for the activities... ...aid in collection accounts receivable.Runs routine insurance claim forms and statements weekly per cycle.Appeals underpaid, denied...ClaimsFull timeWork at officeLocal area
$31.2k - $44.5k
...career development. Summary . As a Small Provider Billing Specialist role at Gainwell, you can contribute your skills as we harness... ...the Medi-Cal program. ~ Review and correct provider’s claim before adjudication. ~ Provide telephone support to enrolled...ClaimsFull timeFlexible hours$31.2k - $44.5k
Small Provider Billing Specialist - Hybrid - West Sacramento, CAJoin the group that solves business challenges and enhances the way we work and... ...bill the Medi-Cal program. Review and correct provider's claim before adjudication. Provide telephone support to enrolled providers...ClaimsFull timeFlexible hours- ...Team Position Summary The PAL Clinical Specialist supports the efficient operation of the... ...and enter prior authorization data for claims adjudication. The role involves frequent... ...Graduation from an accredited School of Pharmacy with a Doctor of Pharmacy degree Excellent...ClaimsMonday to Friday
$60k - $90k
...that converts customer agreements into billed, collected, and reported revenue, serving... ..., collections, dispute resolution, reconciliation, and reporting. Posting Type Remote/Hybrid Job Description The Senior Billing Specialist is a key contributor to the OTC team, responsible...Contract workWork at officeRemote work$22 - $26 per hour
...role is essential to the success of our practice, ensuring accurate billing, timely collections, and smooth communication with insurance providers and families.As a Medical Biller, you will: Submit claims to insurance companies with accuracy and efficiency. Review and...ClaimsHourly payFull timeWork at officeMonday to FridayFlexible hoursShift work- Victory Hematology and Oncology has a Medical Billing Specialist position in Sherman Oaks, California. The role handles insurance billing, coding... ...clients, while maintaining accurate coding and timely claim submissions. #J-18808-Ljbffr VICTORY HEMATOLOGY AND ONCOLOGY...Claims
- ...and processing travel-related documents (e.g. travel expense claims, CalATERS claims, training and registration fee invoices). Works... ...Travel Unit staff by reviewing and processing daily CalATERS reconciliation reports and creating spreadsheets using Microsoft Excel. Provide...ClaimsTemporary workWork at officeRemote work
- ...CA seeks a Medical Biller responsible for accurate, compliant billing of clinical laboratory services, including blood testing, microbiology... ...A vs Part B and SNF workflows is essential. You will review claims from filing through payment resolution, post payments, manage...Claims
- Hoag Memorial Hospital Presbyterian is seeking a Claims Billing Specialist to handle inquiries related to claims, eligibility, and authorization from healthcare providers, health plans, and members. The role requires accurate data handling and HIPAA-compliant documentation...Claims
- DaMar Staffing is seeking a Medical Billing Specialist in California to manage the billing process, ensure accurate claims submission, and maintain compliance with health insurance policies. The role requires knowledge of Medi-Cal, Medicare, private insurance, and experience...Claims
- The Insurance Coordinator manages dental insurance claims, payment posting, account reconciliation, and collections activities in a high-volume dental setting. This role ensures accurate billing, timely reimbursement, and compliance with insurance and documentation requirements...ClaimsWork at officeLocal area
$3,167 - $3,480 per month
...and processing travel-related documents (e.g. travel expense claims, CalATERS claims, training and registration fee invoices). Works... ...Travel Unit staff by reviewing and processing daily CalATERS reconciliation reports and creating spreadsheets using Microsoft Excel. Provide...ClaimsWork at officeRemote workMonday to FridayFlexible hoursShift work- ...Therapy Group, INC is seeking a Medical Biller to ensure accurate claims submission, timely collections, and clear communication with... .... Responsibilities include handling state-funded contracts via billing portals and QuickBooks, maintaining EMR records, and collaborating...ClaimsFull time
- Evolve Psychiatry in Long Island, NY is seeking a full-time, in-house Medical Billing Specialist to join our established Billing Department. You will work on corrected claims and appeals, verify patient insurance, and ensure accurate billing to maximize payments. The ideal...ClaimsFull time
$16.9 - $21.66 per hour
...fast-paced environment. Duties and Responsibilities Reconciling one or more programs of the Local Agency Collection Fund. Preparing claim schedules, remittance advices, journal entries, transaction requests, check requests, and maintain databases. Reviewing, analyzing,...ClaimsHourly payTemporary workPart timeSummer workWork at officeLocal areaFlexible hours- EMS|MC is seeking a Support Services Specialist I to provide administrative and operational... ...Manager. You will handle mail, scanning, billing tasks, and front desk coverage while... ...alignment. Key duties include assembling claim forms, processing electronic billing, managing...ClaimsWork at office
- ...dental practice in California. The role emphasizes managing dental insurance claims, payment posting, account reconciliation, and collections to ensure timely reimbursement and accurate billing. The ideal candidate has 3+ years in dental insurance billing and strong...
$21.75 - $28 per hour
...The Biller is responsible for achieving billing standards as defined by the established... ...Care, HMO/PPO and out of state Medicaid claims, follow up on Outpatient Medi-Cal, Managed... ...Collector, Insurance Collector Specialist, Business Office Representative, Biller,...ClaimsHourly payFull timeWork at office$16.9 - $17.67 per hour
...priority. Please note that prior to appointment, individuals claiming preference under one of these categories will be required to... ...and Responsibilities Prepare entry level journal entries and reconciliations. Prepare documentation to assist staff with write offs. Assist...ClaimsHourly payTemporary workPart timeSummer workWork at officeRemote workWork from homeMonday to FridayFlexible hours
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