Medical Assistant Specialist Chaparral Medical GroupMedical Assistant SpecialistPomona, CA$22–$25 / hourAs part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. Responsible for maintaining smooth patient flow by accurate assessment of patients' needs thorough attention to physician orders and properly scheduling and follow-up of tests and procedures performed on patient.
APC Coding Validation Specialist MachinifyAPC Coding Validation SpecialistCA$85,000–$100,000 / yearDemonstrate a strong working knowledge of outpatient reimbursement methodologies, including Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classification (APC), and Enhanced Ambulatory Patient Grouping (EAPG). Apply coding guidelines across a broad range of outpatient services, including but not limited to Interventional Radiology, Radiation Oncology, injections and infusions, outpatient surgeries, implants, and observation services (including carve-outs).
Front Loader - Biller Clínica Monseñor Oscar A. RomeroFront Loader - BillerLos Angeles, CAPrevious experience in medical billing or Medical Front office running eligibilities for all payers, Medi-Cal, Medicare, commercial plans. Position Summary: The Front-Loading Specialist is responsible for ensuring efficient and accurate loading of patient registration information into the Electronic Health Record (EMR) system prior to the patient's scheduled appointment.
Front Loader - Biller Clinica Monsenor Oscar A RomeroFront Loader - BillerLos Angeles, CAPrevious experience in medical billing or Medical Front office running eligibilities for all payers, Medi-Cal, Medicare, commercial plans. Position Summary: The Front-Loading Specialist is responsible for ensuring efficient and accurate loading of patient registration information into the Electronic Health Record (EMR) system prior to the patient's scheduled appointment.
Advanced Therapies Benefits Specialist (Financial Clearance) Shields Advanced TherapiesAdvanced Therapies Benefits Specialist (Financial Clearance)Los Angeles, CAFull timeCredentials & RequirementsIdeal candidate will have 5+ years of experience in healthcare billing, insurance coordination, or patient financial counsellingFamiliarity with healthcare financial systems and the insurance verification process requiredStrong communication and interpersonal skills are crucial for effectively assisting patientsAttention to detail, organizational abilities, and proficiency with healthcare information systems are also importantPrior experience/familiarity with payer navigation specifically related to cellular therapy (CAR T, TIL, etc.), gene therapy, and/or bone marrow transplant patient journeys and applicable prior authorizations required to enable is preferredPrior exposure with both inpatient & outpatient site-of-care also preferred but not required CompensationCompetitive base salary with bonus opportunity tied to outcomes metrics, with comprehensive benefits coverage also offered. Core Responsibilities Benefits Investigation & VerificationWork with all payers (Government, Commercial, and otherwise, including out-of-state Medicaid agencies), pharmacy benefit managers (PBMs), and third-party administrators (TPAs) to identify, investigate and verify patient insurance coverage and benefits as early as possible within the care journey to ensure timely access to care, accurate billing, and minimal claim denials.
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.
Senior Professional Fee Medical Coder UCSF Medical CenterSenior Professional Fee Medical CoderCACertified Professional Coder (CPC), Certified Coding Specialist-Physician Based (CCS-P), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management. Stay current on upcoming coding audits, regulations, trends, OIG initiatives, and applicable carrier initiatives as they pertain to the subspecialties led by the coder to provide pertinent information and tools to the team, minimize risk, and enhance education efforts.
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.
NewSpecialist, Customer Service Wound Care Cardinal Health IncSpecialist, Customer Service Wound CareCA$20.02–$25.78 / hourYou will be responsible for building strong customer relationships with our customers (doctors, wound care clinics, and patients), placing and following up on wound care supply orders for patients, and being involved in all aspects of our wound care program. Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research, and problem/dispute resolution.
Technician Supervisor (RVT) - Inland Valley Veterinary Specialists PetVet Care CentersTechnician Supervisor (RVT) - Inland Valley Veterinary SpecialistsUpland, CA$32–$35 / hourClassification of protected categories is as follows: A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. Since opening its doors in 2000, Inland Valley Veterinary Specialists & Emergency Center in Upland, CA has been a vital resource for emergency and specialty veterinary care across San Bernardino, Los Angeles, Riverside, and surrounding counties - available 24/7, 365 days a year.
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.
Senior Payment Accuracy Specialist Cotiviti Holdings Inc. (Inactive)Senior Payment Accuracy SpecialistCA$37.75–$40.25 / hourThe Senior Specialist position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects and evaluating the effectiveness of audit concepts. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Senior Payment Accuracy Specialist.
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.
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.
Operations Specialist Just Energy Group IncOperations SpecialistOntario, CA$40,510–$54,690 / yearDepending on the utility, these files may include any or all the following: daily consumption, invoices/bills, accepts, rejects, payments, adjustments and invoice settlements. Review, investigate and follow-up independently on complex operational service requests, emails, and chats related to customer correspondence inquiries in a timely, detailed and thorough manner.
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").
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.
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.
NewRelease of Information Specialist UnitedHealth Group IncRelease of Information SpecialistLos Angeles, CA$18–$32 / hourReview each request for validity according to request type and written guidelines rejects invalid requests / provides timely feedback to requestors regarding non - valid requests for PHI; work with requestor as needed. At all times, the ROI Specialist must safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are compliant with the request, authorization, client policy, and state and federal laws to include HIPAA regulations.