Medical Claims Resolution Specialist Kinetic Personnel Group, Inc.Medical Claims Resolution SpecialistOrange, CA$25–$31 / hourA full time permanent position includes a pay raise, telecommute options, a CalPERS Pension and excellent government benefits including generous holiday, PTO and sick pay days off, year one! Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care.
Patient Registration Specialist - Hybrid Sun Valley Option Care Health IncPatient Registration Specialist - Hybrid Sun ValleySun Valley, CA$22.55–$32.63 / hourJob Description Summary: The Specialist, Patient Registration is responsible for facilitating new patient's transition to Option Care Health services with the goal of delivering a consistent onboarding experience where patients and referral partners feel Option Care Health makes it easy to transition care. Secures patient's upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).
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.
Charge Description Master Specialist - Full time, Day, Remote Providence Health & ServicesCharge Description Master Specialist - Full time, Day, RemoteCalifornia, CARemoteRequsition ID: 431486 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4001 SS RC CHARGE DECR MSTR Address: CA Apple Valley 18300 Hwy 18 Work Location: St Mary Medical Center-Apple Valley Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
Risk Adjustment Coding Specialist II Astrana Health, Inc.Risk Adjustment Coding Specialist IIMonterey Park, California$75,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Collections Representative Quest Diagnostics IncCollections RepresentativeWest Hills, CARemote$20.44–$26 / hourQuest believes that conviction records may have a direct, adverse, and negative relationship to the following job duties: accessing company property, information, assets, and products including sensitive information; accessing customer data or confidential information, and partnering and regularly working with or supervising other Quest employees and interacting with Quest customers.66181Quest Interested candidates should be located within commutable distance to the office at 8407 Fallbrook Ave West Hills, CA 91304.Pay range: $20.44 - $26/hourSalary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained.
Revenue Cycle Specialist II (Commercial Collections) Cedars-Sinai Medical CenterRevenue Cycle Specialist II (Commercial Collections)Los Angeles, CAWhat you will be doing in this role: Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc. Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.
Revenue Cycle Specialist II - Commercial Collections Cedars-Sinai Medical CenterRevenue Cycle Specialist II - Commercial CollectionsLos Angeles, CAWhat you will be doing in this role: Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc. Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.
Sr Eligibility Specialist RCM Baylor Miraca Genetics Laboratories LLCSr Eligibility Specialist RCMCAAny resumes submitted to Baylor Genetics in the absence of an Agreement executed by Baylor Genetics authorized signatory will be considered the property of Baylor Genetics, and Baylor Genetics will not be obligated to pay any associated recruitment fees. While we occasionally partner with select recruitment agencies for specialized roles, we do not accept unsolicited resumes from recruiters or agencies without a written agreement executed by the authorized signatory for Baylor Genetics ("Agreement").
Business Office Specialist Bristol Hospice, LLCBusiness Office SpecialistLakewood, CAProvide office functions including handling correspondence and word processing for hospice organization, managing incoming calls, filing clinical notes, maintaining administrative and clerical files; and ensuring postage is purchased and kept on hand. Assist BOM in ensuring all Doctors order forms and related forms are completed and signed in compliance with Medicare and Medicaid regulations, place forms and applicable documents into patient files.
Insurance AR Specialist OneOncology IncInsurance AR SpecialistCARemoteWe are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve. OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases.
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.
Medical Records Universal Community Health CenterMedical RecordsLos Angeles, CAReporting to the Director of Operations, the coordinator will be responsible for accessing third-party portals, managing medical records email correspondence, updating electronic medical record (EMR) systems, scheduling appointments, coordinating pre-op clearances, and facilitating communication between patients, providers, and specialists. The Medical Records Care Coordinator plays a crucial role in ensuring the efficient management and accessibility of medical records essential for patient care and administrative processes.
Sr. Contract Variance Specialist - Business Office - Full Time - Days - 8hr Emanate Health Medical CenterSr. Contract Variance Specialist - Business Office - Full Time - Days - 8hrGlendora, CA$32–$48.87 / hourContract Variance Specialist works under the guidance of the Reimbursement Strategy Supervisor and is responsible for identifying payment variances at the account level based on expected reimbursement from contracted managed care payers, governmental payers, and non-contracted miscellaneous payers. Contract Variance Specialist analyzes underpayments and identifies proration discrepancies, collaborates with Reimbursement Strategy Supervisor to resolve variance issues, and supports revenue recovery and reimbursement optimization efforts through detailed contract and reimbursement analysis.
Account Resolution Specialist Collector Prime Healthcare Services IncAccount Resolution Specialist CollectorLynwood, CA$23–$28 / hourThe 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. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually.
Field Support Specialist Maxim Healthcare Services IncField Support SpecialistGardena, CAWe offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Sleep Apnea Medical Biller Aava InternationalSleep Apnea Medical BillerIrvine, CAFull timeZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy.
Manager, Accounts Receivable Lundbeck LLCManager, Accounts ReceivableCAGenerate regular reports on team performance, including key metrics performance, data to identify potential issues and develop solutions to improve efficiency and revenue cycle management working with Management and escalate trends to Management. Summary: Depending on the services offered, the Manager, Accounts Receivable may be responsible for overseeing the hospital's entire accounts receivable (A/R) operations, ensuring efficient billing, collections, and reimbursement processes, or may be responsible for a portion of the A/R in a cash acceleration or an A/R wind down project.
Front Office Assistant (Alvarado) Clínica Monseñor Oscar A. RomeroFront Office Assistant (Alvarado)Los Angeles, CAPosition Summary: Position requires excellent customer service skills with patients, employees, and the public, including but not limiting to: offering friendly, courteous, and confidential assistance to every patient to ensure that the patient has a positive experience while visiting Clinica Romero. Adheres to Clinica's Petty Cash policies and procedures, which includes completion of a daily reconciliation form, and submits all monies (cash and/or credit card receipts) to immediate Supervisor or Front Office Lead for review.
Payment Specialist I El Proyecto Del Barrio, Inc.Payment Specialist IPacoima, CARequest approval for write-offs of unpaid claims with no re-bill capabilities, escalating issues as needed. Balance, reconcile, and post-received payments to appropriate accounts.