Medical Review Nurse II - SNF/MDS Auditor MachinifyMedical Review Nurse II - SNF/MDS AuditorCA$85,000–$100,000 / yearMust be able to independently work within Microsoft Office products including Word, Excel, PPT, to Include creating/saving documents in folders, setting up and utilizing spreadsheets, copying and pasting data from one document to another. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.
Collections Representative – Government Billing SGA Inc.Collections Representative – Government BillingLos Angeles, CA$20–$27 / hourResponsibilities : The Collections Representative – Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. Software Guidance & Assistance, Inc., (SGA), is searching for a Collections Representative – Government Billing for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA.
Contact Center Representative II L.A. Care Health PlanContact Center Representative IILos Angeles, CAThe Contact Center Representative (CCR) II is the first point of contact for members, providers, and stakeholders, delivering complete, accurate and compassionate support on moderately complex issues related to eligibility, benefits, claims, authorizations, Primary Care Physician (PCP) changes, and other service needs ensuring seamless triage across the healthcare journey. Care's mission is to provide access to quality health care for Los Angeles Countys vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Business Analyst Demand Drive SolutionsBusiness AnalystLos Angeles, CaliforniaThe Business Analyst III will manage and coordinate the implementation and/or integration of products or new features for clients including client training and provides subject matter expertise (SME) and support of the department's inbound and outbound functions. Perform data analysis to support evaluation of system defects or to develop requirements for new functionality; assist in various system trouble shooting and balancing and correction efforts including analysis, verification and validation of issues and fixes.
NewEZCap System Engineer Ledgent TechnologyEZCap System EngineerLong Beach, CaliforniaRemote$60–$77 / hourWe are seeking a highly experienced Transactional Systems Engineer with deep expertise in Cedar Gate's EZ Suite, particularly EZCap , to join a growing healthcare organization. The organization is bringing more ownership of the platform in-house, making this a highly visible role that will partner closely with business users, IT leadership, and external vendors.
NewPBS Reporting Analyst MemorialCare Health SystemPBS Reporting AnalystFountain Valley, CA$30.65–$44.45 / hourStrong understanding of healthcare revenue cycle operations, including patient billing, collections, claims submission, payment posting, denials, accounts receivable, reimbursement, charge capture, insurance clearinghouses, HCFA-1500 forms, 835/837 EDI files, CPT/ICD-10 coding, payer requirements, regulatory requirements, contract terms, and healthcare audit guidelines. The role monitors key performance indicators, identifies revenue trends, variances, denials, underpayments, workflow errors, and potential revenue leakage, and recommends data-driven process improvements to support timely reimbursement, revenue integrity, compliance, and operational performance.
Billing Associate Kestra Medical Technologies IncBilling AssociateCA$72,000–$79,000 / yearThis position will work side-by-side with Revenue Cycle Leadership to improve the overall process in addition to collaborating with the customer support team in obtaining consistent process improvement based on the actual workflow. Ensure critical data is entered into the orders appropriately to obtain proper reimbursement from various funding sources through use of the Patient Management Billings System - Bonafide.
Product Manager Tech Products Mercury Insurance CompanyProduct Manager Tech ProductsCA$123,077.70–$170,941.25 / year1+ years of advanced knowledge of Guidewire product models specifically working on Guidewire Policy Center, with knowledge of its function in underwriting/sales workflows, policy rating, rules engine, and Guidewire product models. Work with Product Analytics to identify UI and API driven events that help the team understand user experience and adoption, and document tracking needs within user stories and epics.
Correctional Account Coordinator Seven Corners IncCorrectional Account CoordinatorCAOur Correctional Account Coordinator is focused on maintaining our operational efficiency and customer experience within our government programs, specifically our Seven Corners Health Care Solutions. Provided quality customer service to members, which could include sharing claim status with members and outside providers to ensure transparency and quality experience.
Executive Director, Behavioral Health Network California Job ShopExecutive Director, Behavioral Health NetworkLos Angeles, CaliforniaMedi-Cal & Regulatory Expertise will include deep operational familiarity with Medi-Cal, DHCS licensing, ASAM criteria, CalAIM initiatives, and Southern California county behavioral health systems (LA & OC). Operational & Clinical Administration Supervise senior leadership team, including Clinical Directors, Operations Managers, Medical staff, and Facility Managers.
NewAnalyst, Account Manager CVS Health CorpAnalyst, Account ManagerCA$43,888–$76,500 / yearOperating within a highly customized service environment supporting globally distributed populations, the Account Manager partners closely with client contacts, internal business partners, and external vendors to resolve complex issues, drive service improvements, and execute account strategies aligned with client objectives and organizational goals. This role serves as the primary point of contact for a defined group of client stakeholders within designated geographic regions, providing strategic account management, operational support, and consultative guidance to ensure a high level of service and client satisfaction.
Provider Relation Specialist Priority Family Care CenterProvider Relation SpecialistLos Angeles, California$25–$30Conducts and maintains office site visits to service providers with training and education, resolves issues, educates and interprets staff/providers on policies and procedures, collects credentialing information and reviews Healthcare Effectiveness Data and Information Set (HEDIS) information. Qualifications: Education and Experience: Bachelor’s degree in health care administration, business, or public relations preferred, or equivalent combination of education and experience; prior experience with physician offices or managed care, IPA or health insurance environment preferred.
Auto Collision Estimator Auto Collision Group, Inc.Auto Collision EstimatorGardena, CAFull timeA Collision Estimator is responsible for accurately and efficiently appraising vehicle damages to determine the cost of repairs for the customer or insurance companies: · Writes complete estimates/supplements in accordance with company and insurance guidelines with an emphasis on repairing versus replacing parts. A typical work day for an estimate writer includes inspecting damaged vehicles, consulting guide books for repair costs and creating estimation documents.
Financial Business Systems Analyst (Imaging Department) Cedars-Sinai Medical CenterFinancial Business Systems Analyst (Imaging Department)Los Angeles, CARemote$45.89–$73.42 / hourReq ID 20482 Working Title Financial Business Systems Analyst (Imaging Department) Department IMG Business Sys and Admin Business Entity Cedars-Sinai Medical Center Job Category Information Technology Job Specialty Business Sys & System Analysis Overtime Status EXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $45.89 - $73.42. This role requires hands-on experience with patient financial data-including charges, reimbursements, payments, adjustments, and denials-as well as a strong understanding of healthcare financial operations and transactional data.
Bilingual Spanish Call Center Representative MCI LCBilingual Spanish Call Center RepresentativeCARemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaClinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, 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. The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line.
Collection Agent Job Openings (Full Time) MCI LCCollection Agent Job Openings (Full Time)CARemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Call Center Representative Job Openings (Full Time) MCI LCCall Center Representative Job Openings (Full Time)CARemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Call Center Agent Job Openings (Full Time) MCI LCCall Center Agent Job Openings (Full Time)CARemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Mgr, Plan Partnerships PDS HealthMgr, Plan PartnershipsIrvine, California$103,000–$133,000 / yearFull timeOverview: The Mgr, Plan Partnership manages strategic relationships with dental and medical insurance payors to support reimbursement performance, operational efficiency, provider experience, and patient access. This role partners closely with internal teams and health plan contacts to resolve issues, support contract initiatives, and advance overall payer strategy.