PRACTICE CRD 2 UCSF Medical CenterPRACTICE CRD 2CAUses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Explains first appointment procedures in layman's terminology to patient including required records, pathology slides and radiology films to bring or send prior to the first visit; prepares and mails New Patient Packet or sends through MyChart; provides other information requested by patient.
Medical Biller Family Health MattersMedical BillerAnaheim, CA$22–$25 / hourExperience with: o Medi -Cal PPS billing o T1015 encounter billing o Managed care wrap payments o Medicare FQHC billing o Safety -net population billing (preferred) Knowledge & Skills • Strong understanding of: o HRSA FQHC billing guidelines o PPS methodology o CPT, ICD -10, HCPCS coding o Revenue cycle management • Experience with EHR and practice management systems. • Ensure correct use of FQHC billing codes, including: o Revenue code 0521 o T1015 (FQHC encounter code) o Appropriate CPT/HCPCS codes • Verify encounters meet billable visit criteria under HRSA and Medi -Cal guidelines.
Personal Injury Case Manager EverStaffPersonal Injury Case ManagerTorrance, CA$40–$45 / hourThe ideal candidate will have a minimum of two years of experience working as a Personal Injury Pre-Litigation Case Manager. Obtain and organize evidence, including traffic collision reports, police reports, photographs, and related documentation.
Audit and Appeals Recovery Specialist Medicaid/Medicare ICONMA, LLCAudit and Appeals Recovery Specialist Medicaid/MedicareCosta Mesa, CA$25.21–$28.22 / hourAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
Director of Finance Conservation Corps of Long BeachDirector of FinanceLong Beach, CaliforniaDesign and maintain accounting information systems (i.e., Sage Intacct and SAP Concur) to produce timely and relevant financial data for internal decision-making purposes and for meeting funding agencies’, regulatory and other external requirements; assist in the on-going upgrades of the Sage Intacct accounting system. This position will direct the accounting and finance staff with functional responsibility over accounting procedures including, but not limited to the monthly close and reporting, annual audit and tax filings, accounts payable, accounts receivable, general ledger, payroll, and grant administration.
eBilling Supervisor Gibson DunneBilling SupervisorLos Angeles, New York$125,000–$140,000 / yearWorking collaboratively with the eBilling Supervisor as a team member to support current e-billing processes, schedules, and workloads that promote effective work practices for the eBilling Team, and completing special projects and ad-hoc requests regarding various issues, as needed. Tracking resubmission deadlines across a variety of key corporate clients and coordinating with billing specialists regarding pending issues to resolve reductions in a timely manner, and communicating with the Supervisors and the Regional Managers involving areas of concern and non-performance.
Senior Specialist – Revenue Operations Latham & Watkins LLPSenior Specialist – Revenue OperationsLos Angeles, California$85,000–$95,000 / yearFull timePreparing and finalizing invoices in line with internal and external regulation and legislation, including Value‑Added Tax (VAT), Criminal Finances Act Solicitors’ Accounts Rules, and money laundering regulations, as applicable. Responsibilities & Qualifications: Other key responsibilities include: Creating, editing, and finalizing bills in accordance with firm and client requirements and billing attorney directives, reviewing proformas, handling subsequent corrections, and coordinating e‑billing.
NewDeveloper Services Specialist FirstService ResidentialDeveloper Services SpecialistIrvine, CA$26–$31.25 / hourFull timeThe Developer Services Department is a specialized, customer facing department that handles all developer related association matters for new developments, including new community phasing, processing initial sales, budget updates and implementation, billing unsold lots, and reviewing bond status. Requesting Information About the AEDT - NYC Local Law 144: Candidates who reside in New York City and are subject to NYC Local Law 144 may request information about the AEDT, including details on the type of data collected, the sources of such data, and our data retention policies.
Senior Specialist - Revenue Operations Latham & Watkins LLPSenior Specialist - Revenue OperationsLos Angeles, CA$85,000–$95,000 / yearPreparing and finalizing invoices in line with internal and external regulation and legislation, including Value‑Added Tax (VAT), Criminal Finances Act Solicitors' Accounts Rules, and money laundering regulations, as applicable. Other key responsibilities include: Creating, editing, and finalizing bills in accordance with firm and client requirements and billing attorney directives, reviewing proformas, handling subsequent corrections, and coordinating e‑billing.
NewDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Costa Mesa, CA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
NewDRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG Coding Auditor - MS-DRG and APR-DRGCosta Mesa, CA$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Referral Specialist I AltaMedReferral Specialist ILos Angeles, CA$25–$29.32 / hourMinimum 1 year of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations about Medi-Cal, CCS, and other government programs required. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Senior Claims Specialist Crum & ForsterSenior Claims SpecialistORANGE, CaliforniaRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
New["Customer Service Representative","Customer Service Representative"] Accede Solutions Inc (accedesolution.com)["Customer Service Representative","Customer Service Representative"]EncinoAccess to Care: Assisting with providing locations of services for members, such as ancillary providers, and providing information on healthcare plans. Training Participation: Participating in training sessions to improve knowledge of healthcare services and customer service skills.
Home Health Quality Assuranc / Coding Specialist Green Meadows Home Health Care IncHome Health Quality Assuranc / Coding SpecialistSanta Ana, CAFull timeThe Home Health Quality Assurance (QA) / Coding Specialist is responsible for reviewing clinical documentation to ensure compliance with Medicare Conditions of Participation (CoPs), state and federal regulations, and agency policies. This position performs ICD-10 coding, OASIS review, chart audits, and quality assurance activities to support accurate reimbursement, regulatory compliance, and high-quality patient care.
Controller Arete AssociatesControllerNorthridge, CA$200,000–$240,000 / yearAs a key financial leader in our mid-size, partially ESOP-owned business, you will manage an established accounting team, ensure strict DCAA timekeeping compliance, and navigate the unique accounting, tax structures, and reporting rules associated with shared ESOP and corporate equity ownership. Key Responsibilities: Oversee the consolidated month-end and year-end close processes, delivering timely, GAAP-compliant financial packages, partial-ESOP footnote disclosures, and variance analyses to executive leadership.
Medical / Legal Record Retrieval Specialist Legal Copy ServiceMedical / Legal Record Retrieval SpecialistVan Nuys, CARemote$20–$21 / hourFull timeThe ideal candidate is proactive, organized, comfortable making a high volume of calls, and capable of independently resolving issues to ensure records are obtained in a timely manner. Responsibilities include, but are not limited to: Handle 40–50 incoming and outgoing calls daily to medical facilities, providers, and record custodians as a scheduler, coordinator, and appointment setter.
Lead Accounts Receivable Specialist momentum-formerly-ucplaLead Accounts Receivable SpecialistChatsworth, CAThis AR Specialist II is responsible for applying cash and electronic payments to AR sub-ledgers, posting monthly charges, resolving billing discrepancies, and maintains client trust account ledgers. With 40 programs and service sites spanning several counties, Momentum is the largest nonprofit provider of direct support for individuals with disabilities in Southern California.
NewQuality Assurance Specialist NATIONAL COUNCIL ON ALCOHOLISMQuality Assurance SpecialistVan Nuys, CAThe Quality Assurance Specialist reviews clinical documentation and service data to verify that services submitted for reimbursement are supported by the patient record, appropriately documented, medically necessary, delivered by qualified staff, and compliant with applicable Los Angeles County Department of Public Health Substance Abuse Prevention and Control (SAPC), California Department of Health Care Services (DHCS), Medi-Cal, CalAIM, and organizational requirements. Director of Clinical Services and Program Innovation, the Quality Assurance Specialist is responsible for supporting the integrity, accuracy, compliance, and timely billing of Drug Medi-Cal (DMC) substance use disorder services provided by NCADD-SFV.
Medical Records Clerk L.A. Injury AttorneysMedical Records ClerkBurbank, CaliforniaInjury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients. At La Injury Attorneys, we have the necessary investigators, paralegals, and experienced attorneys to obtain the pertinent information to secure the highest possible settlements and/or verdicts for our clients.