Claims Customer Service Representative I Partnership HealthPlan of CaliforniaClaims Customer Service Representative IFairfield, California$29.95–$35.19 / hourFull timeTo accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis. Overview: To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects.
Health Care Guide I Partnership HealthPlan of CaliforniaHealth Care Guide IFairfield, California$29.95–$35.20 / hourFull timeThe job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and.
Claims Customer Service Representative III Partnership HealthPlan of CaliforniaClaims Customer Service Representative IIIFairfield, California$33.65–$40.38 / hourFull timeThe job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and.
Registered Nurse Premier Home Health Providers Inc.Registered NurseLoomis, CA$110–$130 / hourAt Premier Home Health Providers Inc., our compassionate and experienced clinicians are certified and expertly trained to help you manage your condition, prevent rehospitalizations, and improve your health and quality of life in the comfort and familiarity of your own home. As a Registered Nurse with Premier Home Health Providers, you will play a key part in ensuring the accuracy and quality of clinical documentation, helping our patients receive the right care at the right time.
Home Health Registered Nurse (RN) - Vacaville CVHCareHome Health Registered Nurse (RN) - VacavilleVacaville, CAWe provide an entire internal operational support team for our clinicians to handle the tasks of pre-populating the medication reconciliation, tracking down DME orders, getting MD signatures, coding, lab follow-up, etc., truly allowing you to function independently, with the flexibility to make your own schedule and plan patient visits around other commitments if needed. As well as customized care and patient education about disease management, the Home Health RNs provide a variety of specialized services, such as Simple to Complex Wound Therapy, Post-Surgical Care Management, and Ostomy Care Management.
Primary Care Provider (FNP or PA-C) Florence HealthPrimary Care Provider (FNP or PA-C)Sacramento, CAPrimary Care Advanced Practitioner (FNP or PA-C) (Chinese Fluency Required) Join an Established Family Medicine Practice Dr. Dawei Zheng’s physician-led family medicine practice has been serving the Sacramento community for over 25 years, providing comprehensive, patient-centered primary care. Providers benefit from practicing in a supportive private practice environment with the ability to build meaningful long-term relationships with patients.
VES Leader, Fundamentals North America VideojetVES Leader, Fundamentals North AmericaElk Grove, California$90,000–$100,000 / yearWhen you join Veralto’s vibrant global network of 17,000 associates, you join a unique culture and work environment where purpose meets possibility : where the work you do has an everyday impact on the resources and essentials we all rely on, and where you’ll have valuable opportunities to deepen your skillset, pursue your ambitions, and grow your career. The role is primarily focused on Operations and Manufacturing lean processes, while partnering across Supply Chain, Quality, Customer Care, Finance, Sales, Service, Engineering, Product Management, HR, and other functions to strengthen performance and build VES capability.
Professional Surgical Coder II (Onsite, Hybrid, Remote) Northbay HealthcareProfessional Surgical Coder II (Onsite, Hybrid, Remote)Fairfield, CaliforniaRemote$42.24–$51.34 / hourFull timeAt NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. Specialty Requirement: While experience across all specialties is ideal, candidates must have experience in a minimum of two of the following: Podiatry, Otolaryngology, OB-GYN, Orthopedics, Neurosurgery, Urology, Vascular, Cardiology, Interventional Radiology, Gastroenterology/GI Endoscopies, or Cardiothoracic Surgery.
Quality Assurance Registered Nurse (RN) - Home Health Pennant ServicesQuality Assurance Registered Nurse (RN) - Home HealthSacramento, CaliforniaRemoteThis role is responsible for reviewing and ensuring the accuracy, completeness, and consistency of OASIS assessments and ICD-10 coding, while collaborating closely with clinical and leadership teams to improve outcomes and agency performance. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
Authorization Rep eTeam Inc.Authorization Repsacramento, CARemote$920–$960 / weekSKILLS AND KNOWLEDGE: Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge. 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, staff changes, workload, or technical development).
Patient Services Representative 3 University of CaliforniaPatient Services Representative 3Davis, CA$29.46–$36.63 / hourIn depth knowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county funded coverage, and workers' compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Patient Services Representative 2 University of CaliforniaPatient Services Representative 2Davis, CA$28.97–$35.93 / hourKnowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county-funded coverage, and workers' compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics, and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Professional Surgical Coder II (Onsite, Hybrid, Remote) Northbay Healthcare GroupProfessional Surgical Coder II (Onsite, Hybrid, Remote)Fairfield, CARemote$42.24–$51.34 / hourAt NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. Specialty Requirement: While experience across all specialties is ideal, candidates must have experience in a minimum of two of the following: Podiatry, Otolaryngology, OB-GYN, Orthopedics, Neurosurgery, Urology, Vascular, Cardiology, Interventional Radiology, Gastroenterology/GI Endoscopies, or Cardiothoracic Surgery.
NewRefund Analyst CommonSpirit HealthRefund AnalystRancho Cordova, CADemonstrate a solid understanding of accounts receivable and your role as a Refunds Analyst: Payor Rules & Regulations, Understanding contract language, CCI Coding Issues, Read and interpret DOFR, Comprehend how transactions affect account, Coordination of Benefits rules, Offsets / Takebacks, Payment Posting. Ability to determine correct systems to locate pertinent info: IDX, MPV, Medical Records Systems, Insurance Payor Web Sites, Code Correct Web Site.
Sr. Patient Account Associate Adventist Health SystemSr. Patient Account AssociateRoseville, CAOur compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.
Sr. Patient Account Associate Adventist HealthSr. Patient Account AssociateRoseville, CAAdventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Requirements: Education and Work Experience: Associate's/Technical Degree or equivalent combination of education/related experience: Required.
INFORMATION TECHNOLOGY SPECIALIST II State Of CaliforniaINFORMATION TECHNOLOGY SPECIALIST IISacramento, CA$8,625–$11,557 / yearThe IT Specialist II meets these responsibilities by leading Information Technology (IT) projects and by performing under general supervision, acts as a team leader on the more complex systems software projects, and/or works independently as a high-level technical specialist on the more complex systems assignments. The State of California has a generous benefits package that includes medical coverage, CalPERS pension upon retirement, two weeks paid vacation per year, two weeks paid sick leave per year, two paid Professional Development Days, one paid Personal Holiday, pre-tax parking fee program.
Engineering Manager Corpay IncEngineering ManagerSacramento, CA$160,000–$190,000 / yearThis role requires a leader who can manage delivery across related domains, coordinate dependencies across teams, and help maintain a strong connection between product priorities, engineering execution, system reliability, and customer outcomes. Ability to manage two related engineering teams across invoice and payment domains, balancing roadmap delivery, operational stability, technical debt, production support, and team development.
Senior Systems Specialist, Chargemaster (Onsite, Hybrid, Remote) Northbay HealthcareSenior Systems Specialist, Chargemaster (Onsite, Hybrid, Remote)Fairfield, CaliforniaRemote$46.63–$56.68 / hourFull timeAssists with cross-functional meetings with key stakeholders including patient financial services, information systems, health information management and clinical departments to proactively analyze error reports, audit findings and regulatory updates. The Specialist - Chargemaster will be taught and expected to learn the following within the 90-day introductory period: Knowledge of the NorthBay computerized financial and clinical systems as well as CDM applications and charge interfaces.
Medical Informatics Analyst, Consultant Blue Cross and Blue Shield AssociationMedical Informatics Analyst, ConsultantEl Dorado Hills, CAThe successful candidate will act as "two-in-a-box" collaborator to share LOB Membership Retention & Growth goals, and Covered CA regulatory reporting, translate complex business problems into structured analytical approaches, design smart analytical tools, and leverage internal data structures to uncover CoHC optimization and member acquisition opportunities. Reporting to the Sr Manager of Medical Informatics, this role is responsible for acting as an AI & Analytics partner to key leaders and cross-functional stakeholders across IFP, Actuarial, HQA, Network Operations, and Finance to achieve their Growth-related business objectives.