Reimbursement & Appeals Supervisor Exagen Inc.Reimbursement & Appeals SupervisorCarlsbad, California$75,000–$95,000 / yearFull timePrepare and analyze weekly and monthly operational reports for Revenue Cycle leadership, including denial volume, denial rate, aging, appeal inventory, overturn rate, recovered revenue, productivity, quality, and payer-specific risk. The Supervisor uses data, payer policy, and root-cause analysis to improve appeal outcomes, reduce preventable denials, and support accurate, timely reimbursement across commercial and government payers.
Sr Managed Care Biller/Collector Prime Healthcare Services IncSr Managed Care Biller/CollectorChula Vista, CA$24.06–$38 / hourMinimum of three years hospital managed care/commercial collector experience 2 years of recent hospital managed care billing experience in an automated environment Associates degree or equivalent work experience required Knowledge of contract interpretation Familiar with hospital billing requirements Knowledge of out of state Medicaid billing guidelines Knowledge of basic managed care, Medicaid/Medicare billing rules, regulations, and deadline Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers. This includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts.
Revenue Cycle Manager el cajon cross ESRhealthcare and EXEC STAFF RECRUITERSRevenue Cycle Manager el cajon crossEl Cajon, CaliforniaThe Revenue Cycle Manager will oversee all aspects of the revenue cycle process, including insurance verification, coding, charge entry, claims submission, collections, payment posting, denial management, and regulatory compliance. This is an exciting opportunity for a healthcare revenue cycle professional who thrives in process improvement, operational leadership, and building high-performing teams.
Urgent Care Medical Laboratory Technician (3, 12Hr Days/Week) San Ysidro Health CenterUrgent Care Medical Laboratory Technician (3, 12Hr Days/Week)Chula Vista, CAEssential Functions of the Job: Perform Proficiency testing and monitor quality control functions for waived and moderately complex tests and test that do not require microscopic analysis such as CBC differential count except for UA microscopic examinationDemonstrate the required competency with instrument operation, and able to troubleshoot and follow through with service repair technician to ensure instrument is functioning in a timely mannerReceives, collects as well as process samples, verification of patient information, billing order, specimen amount and storage requirementsAccurately enters patients testing data and documents corrections appropriately to meet established turnaround timeMaintain equipment in proper working order by performing the periodic maintenance as scheduled and maintain clean work area. Technical Knowledge and Skills Required to Perform the Job: Familiarity and experience working with various laboratory instruments such as ISTAT; Piccolo; Chemistry Analyzer; Coulter or any CBC instruments; Urinalysis instruments, such as Clinitek or Seimens Urine analyzer; and/or Coagu-Check instrumentsProficient in medical terminologyBasic computer skills and literacyDemonstrate ability to be culturally sensitive and appropriate in working with othersAbility to work well in fast-paced, dynamic environmentsDemonstrate respect for diversityStrong attention to detailOutstanding organizational, multi-tasking and problem-solving skills.
Behavioral Health Pharmacist Specialist - Sharp Grossmont Hospital - Variable Shift - Full Time Sharp HealthCareBehavioral Health Pharmacist Specialist - Sharp Grossmont Hospital - Variable Shift - Full TimeLa Mesa, California$77.91–$100.53 / hourClinical Consult servicesCertification/Recertification, Participation, Knowledge: Demonstrates competency in performing formal clinical consults, and patient monitoring practices as approved by the P&T Committee:Has met minimum certification/recertification requirements as outlined in the Pharmacy Certification Process for Formal pharmacotherapy Consult and Advisory Services policy and procedure for consult services offered at entity. Research & Teaching ResponsibilitiesTake a leadership role in clinical research and the teaching programs of the Department of Pharmacy Services as they are related to Behavioral Health medicine:Residency Program Director for PGY-2 Psychiatric Pharmacy programParticipates in providing didactic and experiential training in Clinical Pharmacy for clinical pharmacy residents.
Business Office Manager - Surgical Center of San Diego SCA HealthBusiness Office Manager - Surgical Center of San DiegoSan Diego, CaliforniaAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
Document Control Analyst/ Labeling Specialist LancesoftDocument Control Analyst/ Labeling SpecialistCarlsbad, CA$32Utilizes lean methodology and problem-solving tools such as Gemba walks, kaizens, and RCCMs to support continuous improvement activities related to quality and efficiency of the label printing process. •Provide direct support for ongoing updates, including hazard communication, regulatory compliance projects, and other specialized projects.
Radiologic Technologist-Fluoro Required - Sharp Chula Vista Medical Center - Variable Shift - Per Diem Sharp HealthCareRadiologic Technologist-Fluoro Required - Sharp Chula Vista Medical Center - Variable Shift - Per DiemChula Vista, California$47.06–$60.73 / hourPatient and family educationProvides pre and post procedure education and reassurance to include but not limited to: What the procedure is, how long it is going to take, physician involved, contrast administration and mode of delivery, positioning, instructions related to procedure, the report, patient satisfaction form, etcInteracts and communicates in a manner to reflect an understanding of the patient's age, culture, state of health, level of comprehensionCommunicates and interacts with the patient's family in a way that is perceived positive and supportive while maintaining patient confidentiality. Produce high quality examsUnderstands and applies appropriate imaging techniquesPositions according to department imaging protocolsLabels and identifies studies correctly using legal marker setUses imaging equipment proficientlyUses imaging agents (contrast) according to protocol.
Epic Certified HB Analyst - Home Health - Remote - San Diego, CA Waterfall Technology Consulting PartnersEpic Certified HB Analyst - Home Health - Remote - San Diego, CASan Diego, CaliforniaRemoteWe are partnered with a wonderful organization seeking an experienced Epic HB Home Health Billing Analyst to support the ongoing optimization, maintenance, and enhancement of Epic revenue cycle workflows related to Home Health services. The ideal candidate will possess an active Epic Hospital Billing (HB) certification and demonstrate hands-on experience supporting Home Health billing, charge capture, claims processing, reimbursement, and revenue cycle operations within Epic.
Epic Certified HB Analyst Waterfall Technology Consulting PartnersEpic Certified HB AnalystSan Diego, CaliforniaWe are partnered with a wonderful organization seeking an experienced Epic HB Home Health Billing Analyst to support the ongoing optimization, maintenance, and enhancement of Epic revenue cycle workflows related to Home Health services. The ideal candidate will possess an active Epic Hospital Billing (HB) certification and demonstrate hands-on experience supporting Home Health billing, charge capture, claims processing, reimbursement, and revenue cycle operations within Epic.
Compliance Auditor - SRS Sharp HealthCareCompliance Auditor - SRSSan Diego, CaliforniaThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. Evaluates the inpatient and outpatient training and coding areas for improvement for assigned specialties and incorporates education specific to the needs of the specialty.
Compliance Auditor - SRS Sharp HealthplanCompliance Auditor - SRSSan Diego, CA$34.17–$44.09 / hourThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. Evaluates the inpatient and outpatient training and coding areas for improvement for assigned specialties and incorporates education specific to the needs of the specialty.
Medical Director - Interventional Psychiatry Mindpath HealthMedical Director - Interventional PsychiatrySan Diego, CaliforniaPartnering closely with clinical and operational leadership, the Medical Director ensures the delivery of high-quality, evidence-based care, supports improved patient outcomes and access, expands referral networks, optimizes program performance and chair utilization, and drives growth initiatives across the organization. The Medical Director of Interventional Psychiatry (IP) is responsible for advancing Mindpath Health's Transcranial Magnetic Stimulation (TMS) and Esketamine (Spravato) programs through clinical leadership, operational partnership, clinician engagement, and strategic program development.
Case Manager-Personal Injury Shegerian & AssociatesCase Manager-Personal InjurySan Diego, CA$25–$27 / hourMonitor critical deadlines including but not limited to the Statute of Limitations uninsured/underinsured motorist (UM/UIM) demand deadlines, and demand/settlement deadlines; for cases that proceed to litigation, track applicable court deadlines. As a Personal Injury Case Manager, you'll be the steady, reassuring point of contact who guides injured clients through what is often a stressful and unfamiliar process while keeping their cases organized and moving.
Eligibility Screener- Escondido, CA GetixHealthEligibility Screener- Escondido, CAEscondido, CaliforniaThis role works directly with patients, insurance companies, and healthcare systems to ensure accurate information is obtained prior to services being provided, helping reduce billing issues and claim denials. Life & Disability Coverage: Receive company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&D benefits.
NewAVISE Patient Advocate Team (APAT) Representative Exagen Inc.AVISE Patient Advocate Team (APAT) RepresentativeCarlsbad, California$22–$25 / hourFull timeAccepting heavy inbound calls from patients regarding but not limited to: Testing, billing process, cost, statement, collection letters, payer correspondence, Exagen correspondence, initial claim notification letter, invoice letter, patient consent, aged AR letter, insurance eligibility, refunds. The APAT department is a call center environment where Primary duties include outbound and inbound patient calls which include providing information about Exagen’s unique AVISE testing and securing patient payments.
NewDirector, Payments Abacus Data SystemsDirector, PaymentsSorrento, CARemote$170,000–$200,000 / yearDefine and monitor the metrics that matter: attach rate and attach quality, merchant boarding rate, time from signature to first transaction, activation and inactive-merchant rates, penetration, processed volume, net spread, and retention - and build the CRM and BI reporting that makes them visible to every seller, CSM, and executive. We're looking for a Director, Payments to own and scale the go to market strategy, operating model, and revenue performance of CARET Pay, our integrated payments product embedded in the legal practice management (LPM) software our customers run their firms on.
NewSr Managed Care Biller/Collector Paradise Valley HospitalSr Managed Care Biller/CollectorChula Vista, California$24.06–$38 / hourFull timeThis includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. Our 291-bed, acute care hospital features the San Diego Spine & Joint Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services.
AP Specialist - TalentZok TalentZokAP Specialist - TalentZokSan Diego, CA$30–$32 / hourThe ideal candidate is highly organized, detail oriented, able to independently investigate and resolve issues, and comfortable building strong working relationships with both internal stakeholders and external partners. The Accounts Payable Specialist works closely with internal teams and vendors to resolve billing discrepancies, support order processing, and ensure compliance with company policies and procedures.
NewWorkers Comp Coordinator - Sharp TriCity - Day Shift - Full Time Sharp HealthCareWorkers Comp Coordinator - Sharp TriCity - Day Shift - Full TimeOceanside, CaliforniaThe Worker's Compensation Coordinator works with Worker's Compensation patients; schedules new and existing appointments, completes registration in the practice management system, submits authorizations, functions as a liaison for patients between adjusters, employers and physician teams. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.