Code Enforcement Attorney JobotCode Enforcement AttorneyOntario, CA$140,000–$220,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role focuses on representing cities, counties, special districts, and public agencies in complex public safety matters and civil and criminal prosecution.
NewPhysical Therapist - Outpatient - Full-Time All Star Physical TherapyPhysical Therapist - Outpatient - Full-TimeTemecula, CA$45–$54If so, then All Star Physical Therapy in Menifee, CA is looking for a driven and compassionate Physical Therapist (PT) to join our close-knit, outpatient orthopedic team. About: Compensation: $45 - $54/hour + inclusive of productivity incentives, up to a $10K sign on bonus, with additional compensation opportunities for certifications and location differentials.
NewPhysical Therapist - Outpatient - Full or Part-time All Star Physical TherapyPhysical Therapist - Outpatient - Full or Part-timePerris, CA$48–$56If so, then All Star Physical Therapy in Perris, CA is looking for a driven and compassionate Physical Therapist (PT) to join our close-knit, outpatient orthopedic team. About: Compensation: $48 - $56/hour + inclusive of productivity incentives, up to a $10K sign on bonus, with additional compensation opportunities for certifications and location differentials.
NewRemote Fraud Engineer - AI Coding Agent Evaluator MercorRemote Fraud Engineer - AI Coding Agent EvaluatorVictorville, CARemoteIdeal applicants will have experience in fintech or large-scale consumer platforms, working on fraud detection and risk engineering.#J-18808-Ljbffr. This position involves evaluating AI coding models and improving fraud and risk engineering workflows.
Substitute Teacher, Teacher, Coding Teacher, Parent Instructor CbSubstitute Teacher, Teacher, Coding Teacher, Parent InstructorRialto, CaliforniaInspired by the groundbreaking work of Joyce Epstein, a renowned expert in family engagement, PEBSAF's comprehensive virtual parent workshops provide a wealth of resources and guidance on a wide range of topics, from effective communication strategies to homework support and navigating the school curriculum. Recognizing the profound impact of parental involvement in a child's educational journey, PEBSAF has made it its mission to bridge the gap between home and school, empowering parents with the knowledge and skills they need to actively support their children's learning.
HIGH DESERT, CA | Substitute Teacher, Teacher, Coding Robotics CbHIGH DESERT, CA | Substitute Teacher, Teacher, Coding RoboticsRiverside, CaliforniaInspired by the groundbreaking work of Joyce Epstein, a renowned expert in family engagement, PEBSAF's comprehensive virtual parent workshops provide a wealth of resources and guidance on a wide range of topics, from effective communication strategies to homework support and navigating the school curriculum. Recognizing the profound impact of parental involvement in a child's educational journey, PEBSAF has made it its mission to bridge the gap between home and school, empowering parents with the knowledge and skills they need to actively support their children's learning.
Substitute Teacher, Teacher, Coding Teacher, Parent Instructor PARENT EDUCATION BRIDGE FOR STUDENT ACHIEVEMENT FOUNDATION LLCSubstitute Teacher, Teacher, Coding Teacher, Parent InstructorRialto, CAYour goal is to create a welcoming learning environment and provide parents with the tools they need to help their children reach their full potential. We are seeking an energetic and experienced Substitute Teacher to join our team of Parent Education Instructors!
Healthcare Coding Compliance Auditor - RUHS County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHSRiverside, CA$105,597.80–$145,114.92 / yearExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. How many years of experience do you have in an administrative or staff capacity SUPERVISING professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization?.
Healthcare Coding Compliance Auditor - RUHS County of RiversideHealthcare Coding Compliance Auditor - RUHSRiverside, CAFull timeExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI edits, and medical necessity rules.
Trainer-Coding & QA Loma Linda University Medical CenterTrainer-Coding & QASan Bernardino, CAKnowledge of a minimum of five of the following categories of coding required: Inpatient Medicare, Inpatient Non-Medicare, Outpatient Radiology including Interventional, Outpatient Satellite/Clinics, Outpatient Diagnostic, Outpatient Surgery, Emergency Department, observation, recurring, Inpatient Surgery. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics Kaiser PermanenteIT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, InformaticsCorona, CAEssential Responsibilities: Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities. Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
Code Compliance Inspector I/II Flex City of CoronaCode Compliance Inspector I/II FlexCorona, CA$5,258–$7,062Eligible Opt-Out Arrangement: Upon providing reasonable evidence of alternative coverage as required by the Affordable Care Act (ACA)'s Eligible Opt-Out Arrangement rules (below), employees shall be entitled to the following dollars in the first two pay periods each month in taxable cash, in lieu of the amount provided in Section 10.2 above: (a) $300.00 ($600 per month) for Employee + 2 or more dependents. The Medical Allowance shall consist of the following: (1) the Base Contribution Rate, plus (2) an amount equal to the difference between the Base Contribution Rate and the following amounts, as applicable: $978.00 per month for Members electing Employee only coverage; $1,646.00 per month for Members electing Employee plus one dependent coverage; or.
Sr. Medical Billing & Collections Specialist Leaps & Bounds Pediatric TherapySr. Medical Billing & Collections SpecialistNorco, CAFull timeBilling & Collections Specialist is responsible for ensuring accurate and timely billing, proactive collections, and consistent follow-up on outstanding accounts to support the financial health of the organization. In accordance with Company policy, perform timely and aggressive follow-up on outstanding claims, meticulously resolve denials by correcting errors, gathering necessary documentation, and resubmitting claims efficiently.
Director of Charge Description Master (CDM) & Clinical Auditing - Patient Accounting & Billing Unit County of Riverside, CaliforniaDirector of Charge Description Master (CDM) & Clinical Auditing - Patient Accounting & Billing UnitRiverside, CA$102,746.17–$162,990.68 / yearTier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. Knowledge of: The principles of effective personnel management and supervision; principles and practices involved in patient access or revenue cycle activities, including knowledge of applicable health information systems; laws, rules, regulations, and policies affecting revenue cycle, charge master or patient access functions.
Medical Biller Shireen V Guide M D IncMedical BillerRancho Santa Margarita, CAThe ideal candidate has worked in Dermatology or similar specialty before; has excellent attention to detail, strong customer service skills, and is comfortable addressing billing collections issues by phone. Will do collections, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients and staff.
Director of Charge Description Master (CDM) & Clinical Auditing - Patient Accounting & Billing Unit County of RiversideDirector of Charge Description Master (CDM) & Clinical Auditing - Patient Accounting & Billing UnitRiverside, CAFull timeKnowledge of: The principles of effective personnel management and supervision; principles and practices involved in patient access or revenue cycle activities, including knowledge of applicable health information systems; laws, rules, regulations, and policies affecting revenue cycle, charge master or patient access functions. Additionally, the Director will collaborate with RUHS stakeholders to identify charge-related opportunities, evaluate current procedures, and assess internal controls to ensure charge master code compliance, charge accuracy, and improved charge capture.
Billing Clerk Camino Health CenterBilling ClerkSan Juan Capistrano, CAUnder the direct supervision of the Revenue Cycle Manager, the Billing Clerk is responsible for capturing all medical, behavioral health, and dental clinic encounters; submitting claims associated with the billable programs and for reconciling those claims with the program's explanations of benefits. The Billing Clerk is charged with supporting health center staff in appropriately educating and referring patients to wellness, health care and financial assistance resources.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)CA$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Insurance Billing Clerk - Finance and Business County of RiversideInsurance Billing Clerk - Finance and BusinessRiverside, CAFull timeprocedures and methods; determine appropriate applications of various billing procedures; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Under supervision, the incumbent will be responsible for making follow-up calls checking on claim statuses and eligibility, and working on special projects ; performing fiscal clerical work processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required.
Certified Medical Records Coder-Inpatient (Riverside) County of Riverside, CaliforniaCertified Medical Records Coder-Inpatient (Riverside)Riverside, CA$70,044.85–$104,320.89 / yearAbility to: Utilize the ICD-CM classification system to code medical record entries either by use of coding books or encoder product; abstract pertinent information from medical records; follow oral and written instructions; operate PC with Windows software, coding software and abstract package; effectively communicate technical information to medical and administrative personnel; maintain effective working relationships with others. I understand that I must upload my current valid certification (Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association, or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders) at time of application in order to be considered for an interview.
Coder Auditor Prime Healthcare Management IncCoder AuditorOntario, California$28–$43.40 / hourFull timeThe Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Responsibilities: The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
Certified Medical Records Coder-Inpatient (Riverside) County of RiversideCertified Medical Records Coder-Inpatient (Riverside)Riverside, CAFull timeAbility to: Utilize the ICD-CM classification system to code medical record entries either by use of coding books or encoder product; abstract pertinent information from medical records; follow oral and written instructions; operate PC with Windows software, coding software and abstract package; effectively communicate technical information to medical and administrative personnel; maintain effective working relationships with others. License/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association, or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders.
Claims Adjudicator Sr Loma Linda University Medical CenterClaims Adjudicator SrRedlands, CAAble to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Knowledge and Skills: Extensive experience in health insurance claims processing, HMO claims or managed care environment is required, in-depth knowledge of medical billing and coding, knowledge of health insurance, HMO and managed care principles.
NewPharmacy Care Technician - Redlands, CA CVS Health CorpPharmacy Care Technician - Redlands, CARedlands, CAPharmacy Care Technicians assist with inbound phone calls; interact with customers and cross functional team to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. In this role, you will assist in accurately reading, interpreting and entering prescriptions into the computer system including calculation of doses and assignment of directions and accepting proper insurance payment in a timely fashion.
NewMedical Biller Ultimate Staffing ServicesMedical BillerLaguna Hills, California$25–$28 / hourThis is a temporary assignment, ideal for someone with a strong background in healthcare administration who can bring professionalism, organization, and empathy for a seamless transition process. Ultimate Staffing is seeking an experienced Medical Biller to support the closure of a medical practice in Laguna Hills, CA.
Regional Hospital Inpatient Coder Kaiser PermanenteRegional Hospital Inpatient CoderFontana, CAAll work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); Office of Statewide Health Planning and Development (OSHPD); National Correct Coding Initiative (NCCI), and Kaiser Permanente organizational/institutional coding directives. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patients health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records).
Patient Navigator HealogicsPatient NavigatorCorona, CaliforniaLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Patient Navigator PRN Healogics IncPatient Navigator PRNCorona, CARequired Education, Experience and Credentials: High School Diploma or General Education Development (GED); Associate's degree preferred Minimum of Two (2) or more years office administration experience, preferably in a medical setting; Prior medical coding experience preferred Preferred Knowledge, Skills and Abilities: Proficient in Microsoft Office (Word, Excel, Outlook) Good customer, interpersonal and communication skills, both orally and in writing Organization and time-management skills Ability to type 60 words per minute (wpm) Basic math skills Attention to details Ability to maintain confidentiality Ability to work in fast paced environment and to work on multiple projects at the same time Ability to work with others and in a team environment Physical Demands: Being in a stationary position for extended periods of time (4 hours or more) Viewing computer screen for extended periods of time (4 hours or more) Keying frequently on a computer for 4 hours or more Reading Communicating Detecting sounds by ear Close, distance and peripheral vision Lifting/moving items up to 75 pounds with equipment assistance Repetitive motions Bending/stooping Writing Work Environment: * Patient care environment The hourly rate for this position generally ranges between $19.69-$24.20 Learn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites.
Director of Health Information Management Pacific GroveDirector of Health Information ManagementRiverside, California$85,000–$120,000 / yearFull timeResponsible for the overall leadership and management of the Health Information Management Department (HIM) in the capacity of planning, organizing and managing electronic and paper clinical content, electronic data integrity, accessibility, use, and protection of health information. . Ensure documentation is filed in the medical records in an accurate and timely manner and ensure that the medical record is complete (including signatures) and closed within facility guidelines.
Grievance and Appeals Nurse-LVN Alura Workforce SolutionsGrievance and Appeals Nurse-LVNRancho Cucamonga, CAThe Grievance & Appeals Nurse is responsible for working directly with the IPAs, Hospitals, internal departments, and the grievance team to ensure grievance and appeal cases are processed per the Grievance Policy & Procedures and Department of Managed Health Care (DMHC)/ Department of Health Care Services (DHCS)/ Center for Medicare and Medicaid Services (CMS) regulations and NCQA. Ensure clinical oversight of assigned Grievance and Appeals team cases, to include final nurse review of all Non-Quality of Care grievance and appeals cases and thorough investigation of all Quality-of-Care cases to be reviewed by IEHP Medical Director and designated Nurse Reviewer.
Coder 2-HIM Loma Linda University Medical CenterCoder 2-HIMSan Bernardino, CAAble to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Job Summary: The Coder 2-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data from the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities.
Manager of Call Center University Health Services IncManager of Call CenterRiverside, CAThis opportunity offers the following: Challenging and rewarding work environment Growth and Development Opportunities within UHS and its Subsidiaries Competitive Compensation About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Epic Credentialed Trainer University Health Services IncEpic Credentialed TrainerRiverside, CA10.Performs other duties as assigned This opportunity offers the following: Challenging and rewarding work environment Growth and Development Opportunities within UHS and its Subsidiaries Competitive Compensation About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions Qualifications Education and Experience: AA degree in computer science or related field (preferred), Minimum two years of experience in healthcare operations using Epic and understanding operational workflows.
Physical Therapist - Outpatient All-Star Physical TherapyPhysical Therapist - OutpatientTemecula, California$48–$54 / hourFull timeIf so, then All Star Physical Therapy in Temecula, CA is looking for a driven and compassionate Physical Therapist (PT) to join our close-knit, outpatient orthopedic team. About: Compensation: $48 - $54/hour + inclusive of productivity incentives, up to a $5K sign on bonus, with additional compensation opportunities for certifications and location differentials.
Physical Therapist - Full-time - Outpatient All Star Physical TherapyPhysical Therapist - Full-time - OutpatientMenifee, California$48–$54 / hourFull timeIf so, then All Star Physical Therapy in Menifee, CA is looking for a driven and compassionate Physical Therapist (PT) to join our close-knit, outpatient orthopedic team. About: Compensation: $48 - $54/hour + inclusive of productivity incentives, up to a $10K sign on bonus, with additional compensation opportunities for certifications and location differentials .
Hospitalist - Optum CA - Banning UnitedHealth Group IncHospitalist - Optum CA - BanningRedlands, CA$271,500–$401,500 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role.
Accounts Receivable Orbit Infusion SolutionsAccounts ReceivableRancho Cucamonga, CAThe Accounts Receivable Clerk will be responsible for managing outstanding insurance and patient balances, posting payments, resolving claim discrepancies, following up on denials, and ensuring accurate reimbursement for infusion services and specialty medications. This role is ideal for someone with strong medical billing and collections experience who understands the unique landscape of specialty infusion and specialty pharmacy reimbursement.
Coder Auditor Prime Healthcare Services IncCoder AuditorOntario, CA$28–$43.40 / hourThe Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
Optum CA - Orthopedic Surgeon, Redlands UnitedHealth Group IncOptum CA - Orthopedic Surgeon, RedlandsRedlands, CABe part of a best-in-class employee experience that enables you to practice at the top of your license We believe that better care for clinicians equates to better care for patients We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations Practice medicine autonomously with the support not restrictions of a sustainable and thriving national health care organization. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Internal Medicine Physician - Laguna Hills UnitedHealth Group IncInternal Medicine Physician - Laguna HillsLaguna Hills, CAQuantity Model Average 18-22 patients per day Collaborate with a multi-disciplinary team of health care providers Daily administrative time built in Physicians schedule Comfortable seeing patients 18 years of age and older chronic disease management annual wellness checks routine screenings Appointment schedule 40 minutes for new consults and 20 minutes for in office visits screenings and follow-up appointments Dedicated Medical Assistant and office support so clinicians can focus on practicing at full scope of license. Clinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support› U.S. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog.
Primary Care Physician | Redlands - Citrus Ave UnitedHealth Group IncPrimary Care Physician | Redlands - Citrus AveRedlands, CAClinical › Corporate and business operations › Customer and support services › Early careers › Sales and account management › Technology and data › Physicians › Advanced practice clinicians › Pharmacy › Behavioral health › Nursing › Medical coding › Clinical support › U.S. › Ireland & UK › India › Philippines › Culture of Belonging › Employee Benefits › Blog. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Optum CA - OB/GYN Physician, Redlands UnitedHealth Group IncOptum CA - OB/GYN Physician, RedlandsRedlands, CAClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Director of Health Information Management Acadia Healthcare Co IncDirector of Health Information ManagementRiverside, CA$85,000–$120,000 / yearPURPOSE STATEMENT: Responsible for the overall leadership and management of the Health Information Management Department (HIM) in the capacity of planning, organizing and managing electronic and paper clinical content, electronic data integrity, accessibility, use, and protection of health information. Ensure documentation is filed in the medical records in an accurate and timely manner and ensure that the medical record is complete (including signatures) and closed within facility guidelines.
Grievance & Appeals Nurse LancesoftGrievance & Appeals NurseRancho Cucamonga, CAEnsure clinical oversight of assigned Grievance and Appeals team cases, to include final nurse review of all Non-Quality of Care grievance and appeals cases and thorough investigation of all Quality-of-Care cases to be reviewed by CLIENT Medical Director and designated Nurse Reviewer. Work closely with the Grievance and Appeals Team under the direction of the Grievance Nurse Leadership with Member Services, Provider Services, Compliance, Medical Services Departments, and DMHC/Client/Client in reviewing grievance issues.
NewAccount Representative Prime Healthcare Management IncAccount RepresentativeOntario, California$23.12–$28 / hourFull timeThe 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. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital’s receivables.
Physician County of Santa BarbaraPhysicianSan Bernardino, CA$242,132.80–$276,529.76 / yearAbility to: assess symptoms and make an accurate diagnosis; prescribe treatment appropriate to the patient's condition and situation; skillfully apply principles and techniques of modern medicine; communicate effectively in both oral and written forms; establish and maintain effective relationships with staff, patients, the public, and other County employees; coordinate activities and efforts with other medical, nursing, and auxiliary staff; understand and accept the needs of medically indigent patients; and interact with and effectively treat clients from diverse socio-economic backgrounds. Provides direct outpatient care services according to established appointment schedules; and provides indirect outpatient care services as required to support the case management of patients' medical conditions, including review and response to all testing, patient and vendor requests for services related to medical conditions, specialty consultations, emergency care, and hospital follow up.
Client Service Representative - OVERNIGHT VCA IncClient Service Representative - OVERNIGHTOntario, CA$18–$20 / hourAs a CSR, you must be a self-starter with a strong attention to detail, ability to work in fast-paced environment, be able to handle difficult cases and clients, and have outstanding communication skills. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, change in personnel, workload, or technical development).
Client Service Representative VCA IncClient Service RepresentativeOntario, CA$18–$20 / hourAs a CSR, you must be a self-starter with a strong attention to detail, ability to work in fast-paced environment, be able to handle difficult cases and clients, and have outstanding communication skills. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, change in personnel, workload, or technical development).
Physician Assistant Argus Medical Management, LLCPhysician AssistantRiverside, CA$70–$75 / hourFull timeOur network includes over 250+ physicians in over 100+ clinics throughout the greater Long Beach, Los Angeles, Orange County, and Inland Empire areas. Utilize EMR system for precise documentation of patient records, medical coding (ICD-10), CPT coding, and data management for clinical research or quality improvement projects.
Field Reimbursement Manager - Kidney (Central California - Los Angeles & San Bernardino) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Central California - Los Angeles & San Bernardino)San Bernardino, CA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.