Director, Compliance Baylor Miraca Genetics Laboratories LLCDirector, ComplianceCAOversee and manage Baylor Genetics' confidential and anonymous Hotline, to include proper routing of complaints, monitoring and ensuring timely completion of investigations and preparing metric reports for the Compliance Committee and other members of management. Contribute to the preparation and execution of quarterly Compliance Committee meetings, including development of pre-read materials, tracking open issues, and surfacing risk themes or emerging compliance trends for leadership discussion.
Senior Client Enablement Specialist NeoGenomics IncSenior Client Enablement SpecialistCAPosition Summary: As a Field-Based Client Enablement Billing Specialist you will play a critical frontline role in reducing bad debt and improving cash collections by partnering directly with the Sales team and high-revenue clients. This is a client-facing, field-based role that involves regular virtual meetings and travel to client sites to drive education, process improvements, and revenue integrity.
Strategic Client Manager CPSIStrategic Client ManagerCAThis role owns client-specific success and recovery plans, drives measurable improvements across the revenue cycle and broader solution portfolio, coordinates cross-functional execution, manages escalations and risk, supports retention and growth, and ensures clients can demonstrate value from the TruBridge partnership. Maintain a disciplined client risk management process using service, financial, operational, relationship, and contractual indicators; identify emerging risks early; quantify retention and financial exposure; establish mitigation plans with accountable owners and deadlines; and escalate unresolved risks through measurable resolution.
Health Plan Data Scientist SCAN Health PlanHealth Plan Data ScientistLong Beach, CaliforniaRemoteThis role will be a key member of SCAN's Medical Economics Analytics team, responsible for identifying, quantifying, and helping capture total cost of care (TCOC) savings opportunities across the health plan's core medical cost management levers: clinical programs, utilization management (UM) and medical policy, payment integrity, network and contracting, benefit design, coordination of benefits (COB), and supplemental programs. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Field Reimbursement Liaison - Northwest Crinetics Pharmaceuticals IncField Reimbursement Liaison - NorthwestCA$162,000–$203,000 / yearThe FRL interfaces with healthcare professionals, including their ancillary staff, nurse case managers (NCMs), HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases by providing education on Crinetics sponsored patient programs and process guidance in response to prior authorizations, resubmissions, and denials. Essential Job Functions and Responsibilities: These may include but are not limited to: Conduct office calls with HCPs and/or office staff for support with appropriate patient access to Crinetics' products, including assistance in resolving reimbursement, patient programs, and coverage questions.
Collector - Full Time Days Valley Presbyterian HospitalCollector - Full Time DaysVan Nuys, CaliforniaWe’re looking for a detail-oriented Collector to manage patient accounts from billing through resolution while ensuring timely follow-up, accurate reimbursement, and strong payer relationships. 1+ year hospital collections experience (Commercial, Managed Care, Medicare, Medi-Cal, or Workers’ Comp).
Senior Manager, Claims Administration L.A. Care Health PlanSenior Manager, Claims AdministrationLos Angeles, CARequired: Strong knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD)-10, DRG/ Ambulatory Payment Classification (APC), and pricing methodologies. Responsible for translating enterprise expectations into consistent frontline execution, maintaining a strong control environment, identifying emerging risks quickly, and building upstream partnerships that drive long-term operational maturity.
Commercial Hospital Collections Representative UCLA Health SystemCommercial Hospital Collections RepresentativeLos Angeles, CA$27.65–$39.27 / hourUnderstanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Hospital Claims Examiner MedPOINT ManagementHospital Claims ExaminerSherman Oaks, CARemoteFull timeJoin MedPOINT Management as a Hospital Claims Examiner in Sherman Oaks, CA, where you'll play a crucial role in ensuring accurate and timely processing of hospital claims. Our commitment to quality and innovation has earned us a reputation for excellence, making us a preferred partner in the healthcare industry.
Manager Revenue Cycle Radiology Partners IncManager Revenue CycleCA$97,700–$146,500 / yearUsing a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers, and referring physicians we serve. Bachelor's degree in Business Administration or related field (or equivalent experience) with 7+ years of related experience, including 4-5+ years of revenue cycle supervisory experience in a fast-paced, high-volume managed care environment.
Certified Coder, Acute Hospital ED, Cancer & Edits (Remote) Adventist Health SystemCertified Coder, Acute Hospital ED, Cancer & Edits (Remote)CARemoteJob Summary: Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during the patient's stay are valid and in accordance with coding conventions and guidelines. Attends meetings for coder education, audit reviews, staff meetings, coder roundtable and other specialty meetings as needed including emergency department charging, cancer, infusions and injections, cardiac rehab and returned for coding.
Specialty Physician Coder Iconma LLCSpecialty Physician CoderFountain Valley, CAAnalyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Experience: 1 years' experience as a specialty coder in one of the following specialties: Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology.
Specialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaSpecialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Alhambra, CA$25–$39.69 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Quality of Work Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
Commercial Hospital Collections Representative University of CaliforniaCommercial Hospital Collections RepresentativeLos Angeles, CA$27.65–$39.27 / hourUnderstanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Trauma Registrar Children's Hospital Los AngelesTrauma RegistrarLos Angeles, CaliforniaRemote$55,702.40–$74,256 / yearFull timePurpose Statement/Position Summary: The trauma team provides a complete continuum of pediatric trauma care, combined with an active program of education, research and prevention, in addition to maintaining CHLA’s verification as a Level 1 Peds Trauma Center. Children’s Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more than 350 specialized programs and services.
Claims Examiner MedPOINT ManagementClaims ExaminerSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to delivering high-quality healthcare administrative services. We foster a collaborative and supportive work environment where employees are empowered to grow and make a meaningful impact in the healthcare industry.
Director, Patient Financial Services (PFS) - Healthcare CBO GuidehouseDirector, Patient Financial Services (PFS) - Healthcare CBOEl Segundo, California$130,000–$216,000 / yearThe Patient Financial Services Director (Hospital Revenue Cycle) is responsible for the overall management of the Hospital Client PFS department operations, including patient accounting, credit and collections, denial management, and other related key revenue cycle activities. The Director will define and achieve departmental objectives, manage billing and follow-up of patient accounts, compliance with third party payer regulations, and work with company resources to assure ongoing improvements to key revenue cycle indicators.
Director, Patient Financial Services (Pfs) - Healthcare CBO GuidehouseDirector, Patient Financial Services (Pfs) - Healthcare CBOEl Segundo, CA$130,000–$216,000 / yearWhat You Will Do: The Patient Financial Services Director (Hospital Revenue Cycle) is responsible for the overall management of the Hospital Client PFS department operations, including patient accounting, credit and collections, denial management, and other related key revenue cycle activities. The Director will define and achieve departmental objectives, manage billing and follow-up of patient accounts, compliance with third party payer regulations, and work with company resources to assure ongoing improvements to key revenue cycle indicators.
Front Office Representative II PIH HealthFront Office Representative IIWhittier, CA$23–$29.90Full timeThe Front Office Representative II works with the Office Manager and/or Assistant Supervisor to maximize front office efficiency and perform various procedures associated with routine patient encounters; works closely with Office Manager and other members of the front office team to trouble-shoot and resolve problems, maintains positive relationships with patients, family members, visitors, and fellow employees. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
Coder III Apidel TechnologiesCoder IIINewport Beach, CAContractorAssigns codes for diagnoses, treatment and procedure for multiple specialized departments, including Outpatient ancillary, Emergency Department, and Inpatient and Outpatient Surgery. Additionally, the Coder III utilize0s technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM and CPt-4 procedures.