Specialty Physician Coder ICONMA, LLCSpecialty Physician CoderFountain Valley, CA$38.65–$41.69 / hourAnalyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
SIU Investigator Centene Corporation GroupSIU InvestigatorCA$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
SIU Clinical Healthcare Fraud Investigator III (ATL) The Intersect GroupSIU Clinical Healthcare Fraud Investigator III (ATL)Los Angeles, CARemote$45–$55 / hourThe SIU Clinical Healthcare Fraud Investigator III leads complex, high impact investigations into fraud, waste, and abuse across multiple healthcare service lines. The Intersect Group partners with mission focused healthcare organizations dedicated to improving access, quality, and equity of care for large and diverse member populations.
Chart Auditor - Glendale Adventist Health SystemChart Auditor - GlendaleGlendale, CAJob Summary: Supports the Revenue Management Department by auditing medical records and clinical documentation to ensure proper patient status placement, accurate coding, and defensible payer billing. Essential Functions: Conducts concurrent audits of active cases to identify documentation and order issues in real time, preventing downstream denials.
10806 - Sr. Software Engineer (Java/J2EE/Cloud) Hyundai Autoever America10806 - Sr. Software Engineer (Java/J2EE/Cloud)Costa Mesa, CA$103,170–$158,873 / yearWork closely with multiple stakeholders to translate Connected Car feature specifications/requirements into high quality, timely deliverables as a strong hands-on technical member in Connected Car project development activities. Provide technical direction and guidance to the engineering team/vendor to create designs, develop systems, resolve issues, and manage Connected Car development schedule.
Sr. Coordinator, Individualized Care (Case Manager) Cardinal Health IncSr. Coordinator, Individualized Care (Case Manager)CA$21.40–$30.60 / hourDelivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. These steps include patient referral intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up with various partners including the insurance payers, specialty pharmacies, and support organizations to facilitate coverage and delivery of product in a timely manner.
NewSr. Coordinator, Individualized Care Cardinal Health IncSr. Coordinator, Individualized CareCA$21.40–$30.60 / hourDelivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. These steps include patient referral intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up with various partners including the insurance payers, specialty pharmacies, and support organizations to facilitate coverage and delivery of product in a timely manner.
Claims Development Specialist Xifin IncClaims Development SpecialistWestlake Village, CA$20–$24 / hourThe Claims Development Specialist is responsible for specific geographic locations, ensuring accurate conversion of files, demographic posting, charge posting and clean up, and review of all outstanding data is completed daily. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.
Chart Auditor - Glendale Adventist HealthChart Auditor - GlendaleGlendale, CAWe are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. Essential Functions: Conducts concurrent audits of active cases to identify documentation and order issues in real time, preventing downstream denials.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistCA$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Account Advisor I - Call Center Blue Cross and Blue Shield AssociationAccount Advisor I - Call CenterLos Angeles, CARemotePursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Reviews and researches billing and healthcare claim inquiries from members and providers, to ensure proper benefits and/or payments are applied correctly; researches multiple computer systems/applications to verify data/information accuracy.
CPC - Orthopedics outpatient coder - Full Time - Days - 8hr Emanate Health Medical CenterCPC - Orthopedics outpatient coder - Full Time - Days - 8hrCovina, CA$32–$48.87 / hourPreferred 3+ years of coding experience in a healthcare clinic setting, specifically in Family Care and/or Pediatric clinic visits, injections, vaccines, well visits or annual preventive health exams, clinic-based procedures. Experience conducting training/educational sessions for professional staff including preparations of instructional materials preferred; experience with evaluating physician documentation, coding audits and quality performance preferred.
Case Manager West Coast Alnylam Pharmaceuticals IncCase Manager West CoastCARemote$85,500–$115,600 / yearThanks to the commitment of every employee globally, Alnylam is proud to have been recognized as one of Fast Company's 2021 Best Workplaces for Innovators, a Science Magazine Top Employer three years in a row (2019-2021), a Boston Globe Top Places to Work seven years in a row (2015-2021), a Great Place to Work in Asia, Japan, Brazil, the U.K., Germany, Spain, Netherlands, Italy, France and Switzerland, Seramount's 100 Best Companies (formerly Working Mother 100 Best Companies) and Best Companies for Dads, Bloomberg's Gender Equality Index two years in a row (2021-2022), among others. Fosters collaborative relationships with all internal and external customers including but not limited to Patient Education Liaisons, medical, sales, field reimbursement, corporate accounts, patient advocacy, insurance company case managers, specialty pharmacies, home health agencies, and office coordinators.
Insurance Collections Specialist Your Behavioral HealthInsurance Collections SpecialistTorrance, CA$21–$24At YBH, we pride ourselves on being a centralized hub teeming with resources designed to aid clients and their families in pinpointing the optimal support tailored to their distinct needs and aspirations for well-being. Answering questions from patients, clerical staff and insurance companies, Compiling and tracking outstanding balances owed to our providers.
Patient Account Rep Senior MemorialCare Health SystemPatient Account Rep SeniorFountain Valley, CA$25.22–$36.57 / hourThis position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines, and systems, and perform the account follow-up function with all Medicare government agencies to obtain maximum and correct reimbursement of accounts receivables. Medicare Patient Account Representative, Senior is responsible for all Medicare insurance collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible.
NewData Scientist - Trust & Safety (Remote) RulaData Scientist - Trust & Safety (Remote)Los Angeles, CaliforniaRemoteWhat makes this role uniquely exciting is its direct connection to our organizational trust: your daily work will build the proactive models and protective guardrails that safeguard Rula’s legal standing, protect patient care, and ensure the business runs securely. Strong data storytelling abilities, specifically a proven track record of translating complex, technical data discoveries into clear risk assessments for non-technical leadership and legal partners.
NewAccount Manager, Burn Care Vericel CorpAccount Manager, Burn CareIrvine, CA$160,000–$200,000 / yearThe Account Manager develops and executes strategic territory and account plans, identifies opportunities for growth, navigates complex hospital systems and product-access requirements, and builds strong relationships with clinical and administrative stakeholders. This is a quota-carrying sales role accountable for achieving or exceeding territory sales objectives while delivering a high-quality customer experience and maintaining patient welfare as the highest priority.
Non-Government Collector - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaNon-Government Collector - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$26–$41.28 / 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. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere.
Non - Government Collector (Patient Acct Mgmt) - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaNon - Government Collector (Patient Acct Mgmt) - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$26–$41.28 / 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. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere.
Claims Intake Coordinator University of CaliforniaClaims Intake CoordinatorLos Angeles, CA$26.42–$37.49 / hourAs a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Able to key between 6,000 to 8,000 keystrokes or type 40-50 WPM with high accuracy for alpha and numeric data inputting.