Patient Navigator HealogicsPatient NavigatorCorona, CaliforniaLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Medical Biller Ultimate Staffing ServicesMedical BillerLaguna Hills, California$25–$28 / hourThis is a temporary assignment, ideal for someone with a strong background in healthcare administration who can bring professionalism, organization, and empathy for a seamless transition process. Ultimate Staffing is seeking an experienced Medical Biller to support the closure of a medical practice in Laguna Hills, CA.
Podiatrist - Part-Time | FQHC The Staff PadPodiatrist - Part-Time | FQHCPomona, CaliforniaReporting to the Chief Medical Officer, this role is responsible for diagnosing, treating, and preventing conditions affecting the foot, ankle, and related structures while delivering high-quality, patient-centered care. The Podiatrist collaborates closely with primary care providers and other healthcare professionals to improve patient outcomes and enhance mobility, independence, and overall quality of life.
Pharmacy Care Technician - Redlands, CA CVS Health CorpPharmacy Care Technician - Redlands, CARedlands, CAPharmacy Care Technicians assist with inbound phone calls; interact with customers and cross functional team to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. In this role, you will assist in accurately reading, interpreting and entering prescriptions into the computer system including calculation of doses and assignment of directions and accepting proper insurance payment in a timely fashion.
Supervisor, Benefit Distribution And Installation (50544) Western Growers AssociationSupervisor, Benefit Distribution And Installation (50544)Irvine, CAInterface with personnel in all field offices, TPA employers and brokers, and management staff as necessary to communicate any problems or issues with paperwork submission or installation issues for new business, plan changes, rate renewals and rate changes. Oversee the implementation of each new client with the third party administratorion (TPA) client, with necessary communication between the broker, PCMI operational areas, the client and any external vendor as necessary, including the review, completion & sign-off on Client Set-up Sheetsforms/screens.
NewMedi-Cal Billing Specialist Pyramid, IncMedi-Cal Billing SpecialistPomona, CA$21–$24 / hourFull timeBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Must have skills: 1-3 years of experience in hospital accounts receivable, medical billing, or healthcare collections .
OP Coder Auditor Trainee Prime Healthcare Management IncOP Coder Auditor TraineeOntario, California$26.04–$32.37 / hourFull timeThe Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Ninth Revision (ICD-9-CM) or Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Responsibilities: The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
Physical Therapist - Outpatient All-Star Physical TherapyPhysical Therapist - OutpatientHemet, California$48–$58 / hourFull timeIf so, then All Star Physical Therapy in Hemet, CA is looking for a driven and compassionate Physical Therapist (PT) to join our close-knit, outpatient orthopedic team. About: Compensation: $48 - $58/hour + inclusive of productivity incentives, up to a $10K sign on bonus, with additional compensation opportunities for certifications and location differentials.
Physical Therapist - Outpatient - Full-time All-Star Physical TherapyPhysical Therapist - Outpatient - Full-timeTemecula, California$45–$54 / hourFull timeIf so, then All Star Physical Therapy in Menifee, CA is looking for a driven and compassionate Physical Therapist (PT) to join our close-knit, outpatient orthopedic team. About: Compensation: $45 - $54/hour + inclusive of productivity incentives, up to a $10K sign on bonus, with additional compensation opportunities for certifications and location differentials.
Coder 2-Him Loma Linda University Medical CenterCoder 2-HimSan Bernardino, CAAble to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
NewClient Service Representative VCA IncClient Service RepresentativeOntario, CA$18–$20 / hourAs a CSR, you must be a self-starter with a strong attention to detail, ability to work in fast-paced environment, be able to handle difficult cases and clients, and have outstanding communication skills. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, change in personnel, workload, or technical development).
Grievance & Appeals Nurse LancesoftGrievance & Appeals NurseRancho Cucamonga, CAEnsure clinical oversight of assigned Grievance and Appeals team cases, to include final nurse review of all Non-Quality of Care grievance and appeals cases and thorough investigation of all Quality-of-Care cases to be reviewed by CLIENT Medical Director and designated Nurse Reviewer. Work closely with the Grievance and Appeals Team under the direction of the Grievance Nurse Leadership with Member Services, Provider Services, Compliance, Medical Services Departments, and DMHC/Client/Client in reviewing grievance issues.
Clinical Data Manager Trident ConsultingClinical Data ManagerAliso Viejo, CAFacilitate cross-functional Data Management meetings and discussions with Study Managers, Clinical Study Teams, Project Managers, Programming and Regulatory. Assist with writing, reviewing and management of key documents such as Data Management Plan, Project Plan, CRF completion guidelines, edit check specifications, data review guidelines.
Coder II (Outpatient-SDS) San Antonio Regional HospitalCoder II (Outpatient-SDS)Upland, California$28.52–$42.78 / hourFull timeThis position is responsible for reviewing the entire patient record including the electronic record to assign appropriate codes for the following areas: Outpatient: Day patients, cardiac catherterization lab, other interventional radiology and Observation patients and Labor and Deliver Observation. Experience: Two years coding experience in an acute care facility outpatient surgery department, a stand alone ambulatory surgery center, or emergency/urgent care center, using ICD-10-CM, CPT coding, and APC grouper.
Implementation Auditor (50487) Western Growers AssociationImplementation Auditor (50487)Irvine, CAUsing close and comprehensive analyses, verify new and existing plans loaded on the Company's claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments. This position will ensure that all new and existing health (medical/dental) insurance plans underwritten by the Western Growers Assurance Trust (WGAT) and those of Pinnacle, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions.
Plan Coder (50456) Western Growers AssociationPlan Coder (50456)Irvine, CAThis position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively.
Accounts Receivable Specialist - Full Time University Health Services IncAccounts Receivable Specialist - Full TimeRiverside, CAThis opportunity offers the following: Challenging and rewarding work environment Growth and Development Opportunities within UHS and its Subsidiaries Competitive Compensation About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
CDS Trainee Prime Healthcare Management IncCDS TraineeOntario, California$26.04–$29.69 / hourFull timeResponsibilities: CDS Trainee is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation is reflective of quality-of-care outcomes and reimbursement compliance for acute care services provided. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Xcelys Medical Claims Examiner (Remote) NTT DATAXcelys Medical Claims Examiner (Remote)Ontario, CARemoteAs part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.
RAC Manager Prime Healthcare Management IncRAC ManagerOntario, California$71,760–$94,619.20 / yearFull timeExtensive knowledge of nursing care, clinical measurement tools, and clinical outcomes; ability to establish cooperative working relationship with diverse groups and individuals, the medical staff, and other healthcare disciplines; program and database development a plus. Working with the Supervisor(s), a RAC manager functions as a subject matter expert (SME) for the appeals process and takes an active role in managing the process and coordinating with the RAC team, Corporate Utilization Review and Clinical appeals team.