Compensation Specialist Jobs in California

We are seeking an experienced and detail-oriented Medical Billing & Accounts Receivable Specialist to join our growing office team. In this role, you will be responsible for managing daily charge entry for office visits and occupational therapy, navigating workers' compensation and commercial insurance guidelines, applying appropriate modifiers, and aggressively following up on accounts to ensure accurate reimbursement. If you have a strong background in workers' compensation billing, excellent communication skills for negotiating with adjusters, and a sharp eye for identifying underpayments and managing appeals, we would love to hear from you.

Key Responsibilities:

• Charge Entry: Accurately and efficiently enter daily charges for routine office visits and occupational therapy services.
• Billing & Coding: Ensure clean claim submissions utilizing appropriate CPT, ICD-10, and modifiers for both commercial insurance and workers' compensation claims.
• Accounts Receivable & Follow-Up: Actively work aging accounts, follow up on unpaid or delayed claims, and verify that payments received match fee schedules/contracts.
• Underpayment & Appeal Management: Identify underpayments, determine valid grounds for dispute, and draft/submit appeals to ensure maximum recovery.
• Payer Communication: Professionally communicate and negotiate with insurance adjusters, bill review companies, and case managers to resolve claim discrepancies.

Qualifications & Requirements:

• Experience: Minimum of 3 years of hands-on medical billing and AR experience.
• Specialty Knowledge: Strong, demonstrated working knowledge of Workers’ Compensation billing rules and commercial insurance guidelines.
• Coding Expertise: Proficient in assigning accurate CPT/HCPCS codes and applying correct modifiers for office and occupational therapy services.
• AR & Appeals: Proven track record in accounts receivable follow-up, identifying underpayments, and managing the appeals process.
• Payer Relations: Confident and professional experience dealing directly with insurance adjusters and bill review companies.
• Work Arrangement: Must be reliable and available to work on-site Monday through Friday from 7:30 AM to 4:30 PM (this is strictly an in-office position).

Job Type: Full-time

Pay: $27.00 - $29.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Ability to Commute:

• Orange, CA 92868 (Required)

Ability to Relocate:

• Orange, CA 92868: Relocate before starting work (Required)

Work Location: In person