A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
Business Svcs Rep II, Prof Billing/Collections Henry Mayo Newhall Hospital - 3.7 Valencia, CA Job Details Full-time $23.00 - $32.49 an hour 22 hours ago Qualifications Computer operation Regulatory compliance in claims processing High school diploma or GED Health insurance knowledge Hospital experience Full Job Description Job Brief 1
Opening Pay Range:
BUSINESS SVCS REP II
- - $23.00 TO $32.49 Your Work Here Matters. Your Career Here Thrives. Imagine coming to work every day knowing that what you do genuinely changes lives. At Henry Mayo Newhall Hospital , that's not just a tagline — it's the reality for every member of our team. We're not just a hospital. We're the heartbeat of the Santa Clarita Valley — a 357-bed, not-for-profit Level II Trauma Center that has been a trusted pillar of this community since 1975. And we're looking for passionate, driven professionals who want to be part of something bigger than themselves. Where Clinical Excellence Meets Cutting-Edge Care Here, you'll work alongside an award-winning team delivering some of the most advanced medical services in the region, including: Comprehensive heart and vascular care Advanced stroke treatment Cancer care in partnership with Keck Medicine of USC Women's imaging and breast health services Emergency and trauma care Cardiac rehabilitation and wellness programs As a key part of Los Angeles County's STEMI receiving network , we provide lifesaving cardiac intervention through our state-of-the-art Roberta G. Veloz Cardiac Cath Lab . We continuously invest in the latest technology and innovation — which means you'll always be working at the forefront of modern medicine. A Culture You'll Be Proud to Be Part Of Our vision — To Be the Most Patient-Centric Hospital Anywhere — drives everything we do. But it's our people who make that vision a reality. Physicians, nurses, staff, and volunteers come together here in a culture rooted in compassion, collaboration, and excellence . When you join Henry Mayo, you're not just accepting a job offer. You're joining a family that genuinely cares — about our patients, our community, and you . Located in Beautiful Valencia, California Nestled in the vibrant Santa Clarita Valley, you'll enjoy an exceptional quality of life both inside and outside of work — with top-rated schools, scenic surroundings, and a welcoming community that generations of families proudly call home. Ready to make your mark? Join the team that's been setting the standard for compassionate, innovative healthcare for nearly 50 years. Your next great chapter starts here.
Job Summary:
Under the direct supervision of the Manager, the Billing/Collections representative is responsible for the billing and collecting of all professional claims, in accordance with state and federal regulations and HMNH policies. Compiles and maintains records for services rendered and ensures accurate entries; assists in processing claims for timely reimbursement. What You'll Bring to the
Team:
Computer experience mandatory. Knowledge of all third party reimbursement issues and/or updates related to billing government, and commercial claims Knowledge of medical terminology, CPT, ICD10 Competent in billing compliance. Ability to accept and adapt to change easily. Ability to communicate verbally and in writing, to be a self-starter, and demonstrate a pleasant voice and good public relations while performing duties. HMO/PPO knowledge required.
Licensure and Certification:
N/A Education:
Minimum High School graduate or GED equivalent
Experience:
3 year minimum experience with professional billing in a hospital, medical, and/or health care environment.
