Patient Care Coordinator Upperline HealthPatient Care CoordinatorOrange City, CaliforniaUpperline Health providers coordinate patients’ care among a team of physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists for integrated treatment that addresses patients’ immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Kinnser Intake & Scheduler - Home Health CARE FIRST HOME HEALTH CARE INCKinnser Intake & Scheduler - Home HealthSimi Valley, CAPart timeThis role ensures newly referred patients are scheduled accurately, insurance authorizations are complete, and transition seamlessly into care services while supporting high-quality communication with referral partners and internal teams. The Intake & Scheduler oversees the entire patient intake process within a home health/hospice setting, using WellSky/Kinnser EMR .
Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteForward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationLos Angeles, CA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
UM Nurse, RN NeueHealthUM Nurse, RNLos Angeles, CABy uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. o Evaluate and process prior authorization requests for medical procedures, medications, and services based on clinical guidelines such as: Medicare criteria, Medicaid/Medi-Cal criteria, InterQual, MCG, or Health Plan specific guidelines.
NewCo-Founder & CEO - AI Clinical Documentation Compliance FutureSightCo-Founder & CEO - AI Clinical Documentation ComplianceLos Angeles, CARemoteYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. The market signal is incredibly strong: Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted.
NewClaims Specialist I Blue Cross and Blue Shield AssociationClaims Specialist ILos Angeles, CANecessary Contacts: In order to effectively fulfill this position, the Claims Specialist I must be in contact with personnel in other Units: Various internal departments and staff including, but not limited to, Provider Services, Legal, Internal Audit, IT, other Benefits Operations Management and staff, Enrollment and Billing, Administrative Services, and District Offices. Reviews, researches, and makes necessary updates to claims that may include the following: recalculation of benefits to previously processed claims, the processing of claims edits, or initiation of refund requests, according to contractual benefits or provider reimbursement rules, ultimately providing a high degree of customer satisfaction.
Payment Specialist I El Proyecto del Barrio IncPayment Specialist ICAEmployees driving personal vehicles for El Proyecto business must provide El Proyecto proof of a valid driving license, and auto liability insurance. To receive mileage reimbursement, the employee must log their mileage and submit the mileage expense report to their Appropriate Administrator.
Patient Intake Specialist Unicare HealthPatient Intake SpecialistThousand Oaks, CAFounded in 1988, Unicare Health helps patients with complex medical needs thrive at home through compassionate care, expert clinical support, and trusted partnership with families and healthcare providers. A strong coordinator and team player who works closely with clinical, billing, and delivery colleagues throughout the new patient intake process and the ongoing patient experience, so mission-aligned care is delivered without gaps.
Auditor Technical Trainer POS Cotiviti Holdings Inc. (Inactive)Auditor Technical Trainer POSCARemote$105,000–$125,000 / yearAssess job-specific needs and develop technical training plans with clear business objectives, including working with subject matter experts, developing training materials, and developing appropriate assessments and measurements of success. The individual will work collaboratively with subject matter experts in the Commercial & Government Audit Teams, Quality Assurance, Concept Development, and others to validate workflows and communication tools to enhance audit productivity, performance, and client satisfaction.
Patient - Admissions Coordinator - Regional Operations - Full time, Evening, Onsite Providence St. Joseph HealthPatient - Admissions Coordinator - Regional Operations - Full time, Evening, OnsiteOrange, CAUnder the direction of the PAS supervisor/manager, the Patient Access Representative is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Patient - Admissions Coordinator - Regional Operations - Full time, Evening, Onsite Providence Health & ServicesPatient - Admissions Coordinator - Regional Operations - Full time, Evening, OnsiteOrange, CA$24–$31.52 / hourRequsition ID: 434016 Company: Providence Jobs Job Category: Patient Access Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Evening Career Track: Admin Support Department: 4001 SS RC OPREG SJH ORANGE Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange Workplace Type: On-site Pay Range: $24.00 - $31.52 Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Non-Clinical - Finance/Accounting - Collections Representative 22nd Century Technologies, Inc.Non-Clinical - Finance/Accounting - Collections RepresentativeLos Angeles, CAThe Collections Representative Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. This role ensures compliance with payer regulations, billing guidelines, and timely filing requirements while maintaining account accuracy and maximizing reimbursement.
Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation Deloitte Touche Tohmatsu LtdForward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationCosta Mesa, CA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
Insurance Biller - Government Programs FT Days Torrance Memorial Medical CenterInsurance Biller - Government Programs FT DaysTorrance, CaliforniaReviews reports to identify denials from Medicare, PPOs, Worker Compensation, Commercial and Contracted carriers; corrects and resubmits claims using accurate ICD-9,ICD-10 and CPT codes; suggests action plans to eliminate denials in the future. Under direct supervision, the Insurance Biller is responsible for all aspects of paper and electronic billing as well as collections activities including reviewing and auditing codes and verifying insurance.
Jr. Quality Improvement Coder Astiva Health, Inc.Jr. Quality Improvement CoderOrange, CAIn this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. Apply official CPT/HCPCS and ICD10 coding guidelines, internal guidelines, and state specific Medicare/Medicaid coding instructions to review and analyze professionally coded services and coding queries.
Provider Service Representative III L.A. Care Health PlanProvider Service Representative IIILos Angeles, CAThe Provider Service Representative (PSR) III is the first point of contact for providers and stakeholders, delivering complete and accurate support on eligibility, benefits, claims, authorizations, Primary Care Physician (PCP) changes, and other service needs ensuring seamless support across the provider service journey. Required: At least 3 years of Managed Care experience in provider relations or customer service, including 1 year of experience handling provider inquiries related to claims, benefits, authorizations, and payments in a contact center environment.
Patient Collections Specialist Your Behavioral HealthPatient Collections SpecialistTorrance, CAAt YBH, we pride ourselves on being a centralized hub teeming with resources designed to aid clients and their families in pinpointing the optimal support tailored to their distinct needs and aspirations for well-being. -Answering questions from patients, clerical staff and insurance companies, -Compiling and tracking outstanding balances owed to our providers.
Claims Edit Coder Cedars-Sinai Medical CenterClaims Edit CoderLos Angeles, CAWhat you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure the completeness of documentation required for code assignment within area(s) of assignment or specialty.
Denial Specialist - Business Office - Full Time - Days - 8hr Emanate Health Medical CenterDenial Specialist - Business Office - Full Time - Days - 8hrGlendora, CA$25.53–$38.29 / hourThe Denial Specialist will possess and apply thorough knowledge of collections and the ability to apply the knowledge to all aspects of a patient account that is involved in the audit and appeals process to accurately complete accounts receivable reconciliation. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.
Patient Account Representative 2 - Hospital FMOL HealthPatient Account Representative 2 - HospitalLos Angeles, CAThe Patient Accounts Representative 2 is responsible for the monitoring of patient accounts which includes, but is not limited to: • Claim submissions • Researching and reviewing back end denials • Determining appropriate action for submission of provider claims • Outbound and inbound calls from insurance carriers, providers and patients • Payment posting • Collections • Account adjustments and appeals. Makes written and verbal inquiries to third party payers, reconciles patient accounts, and makes payment arrangements in an effort to ensure that patients are free from financial burden and that patient interests are appropriately represented.