Pace Referrals Supervisor San Ysidro Health CenterPace Referrals SupervisorSan Diego, CAJob Requirements:Education Required (Minimum level of education): High School Diploma or GED EquivalentPost High School Vocational/Specialized Training (Medical Terminology, CPT/ICD9 coding, Medical Assistant Certificate or Certified Procedural Coder Certificate)Relevant education or volunteer work may substitute for experience. Essential Functions of the Job: Assists in the development and implementation of departmental policies and procedures to meet participant and care team objectives, fostering an efficient and quality-driven environment that meets performance and productivity goals.
PACE Home Care Specialist (Central Valley PACE - Modesto) Available Staff PositionsPACE Home Care Specialist (Central Valley PACE - Modesto)Modesto, CaliforniaWork/life balance: 13 days of vacation, 11 days honored as Paid Holiday Off – 2 are half days (New Years Day and Christmas Eve Day). Perform general office duties including but not limited to word processing, photocopies, files, shreds, sort/distribute mail, provide reception coverage, telephone services, etc.
Implementation Specialist - Epic EHR Systems Adventist Health SystemImplementation Specialist - Epic EHR SystemsRoseville, CACoordinates and submits build requests for existing clinics and providers, as needed, which includes oversight of schedule template builds, coordinating access, ensuring successful testing of builds, and collaboration with all appropriate teams. Job Summary: Analyzes electronic medical record (EHR) implementation projects to determine scope, level of effort, path, resources, training, timelines, support, and application build requirements.
Benefits & Wellness Manager Lush Handmade Cosmetics LtdBenefits & Wellness ManagerCARemote$99,000–$110,000 / yearReporting to the Assistant Controller, the Benefits and Wellness Manager will be responsible for managing relationships with US and Canadian Benefits vendors, creating and executing an annual plan for benefits and wellness communication and education, overseeing the efficient administration of staff benefits, and measuring and reporting on the success of such programs. We recognize that our facilities, along with our settler and newcomer staff are guests on this land and as we act to repair past harm, we do it together in ally ship with Indigenous People everywhere, including staff, customers and with leadership from organizations and communities we work with.
Patient Care Coordinator Upperline HealthPatient Care CoordinatorOrange City, CAUpperline Health providers coordinate patients' care among a team of physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists for integrated treatment that addresses patients' immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Finance Engineer Juniper Square IncFinance EngineerSan Francisco, CARemote$190,000–$240,000 / yearDeep working knowledge of how a quote-to-cash or contract-to-cash process runs end to end across a CRM and an ERP, including the touchpoints between upstream systems and the ERP and where they typically break. 7+ years hands-on with NetSuite OneWorld, including configuration, workflows, saved searches, Advanced Revenue Management (ARM), and order-to-cash, in a multi-subsidiary environment.
MEDICAL BILLING AND CODING INSTRUCTOR - ADULT ED Escondido Union High School DistrictMEDICAL BILLING AND CODING INSTRUCTOR - ADULT EDEscondido, CA$69,412–$149,163 / yearEffective July 1, 2024, ALL YEARS of experience (including credit for military experience) is allowed for placement of new employees on the salary schedule. Midway Drive, Escondido, CA 92027 Office: (760) 291-3281 Email: ckirpalani@euhsd.org.
Medical Office Specialist University Health Services IncMedical Office SpecialistTemecula, CASouthwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, and Riverside Medical Clinics. 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.
Collector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaCollector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Pasadena, California$26–$41.28 / hourResponsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology. System Folder Notes / Account Documentation Documents claim bill date, billed amounts, billing address, billing attachments, invoice number, expected payment, contractual amount, received payments, actual transplant date(s), type of transplant, pre and post periods for transplant days, and all pertinent billing data relevant to billing the claim.
Principal - Wholesale Roaming - Billing, Settlement & Standards Skylo TechnologiesPrincipal - Wholesale Roaming - Billing, Settlement & StandardsMountain View, CARemoteOur direct-to-device service is live on millions of activated devices across five continents, covering more than 72 million square kilometers, in partnership with leading satellite operators, mobile network operators, Tier-1 chipset makers, and OEMs worldwide. This role is fully remote in the U.S. ABOUT THE ROLE: Skylo's multi-TADIG, multi-PLMN, and multi-clearing-house footprint creates complex settlement combinations that legacy roaming processes were not designed to handle.
Claims Representative- Healthcare Billing Vista Del MarClaims Representative- Healthcare BillingLos Angeles, California$28–$30 / hourIf TIER data is complete, submits the call to update CWS; Monthly, runs Non-Final Saved Notes reports for programs assigned, reviews notes for action required., and disseminates to programs; Reviews Final Saved Charge reports before batching claims for electronic submission to DMH. Completes any updates or corrections required, and manually updates services charges and ‘final save’ so that claims can be batched; Daily, reviews Diagnosis and Financial Update Reports and Client Action Forms submitted for any client information that requires updating in CWS.
Medical Biller & Revenue Cycle Manager Celebrations Speech GroupMedical Biller & Revenue Cycle ManagerBrentwood, CaliforniaCelebrations Speech Group is seeking an experienced Medical Biller & Revenue Cycle Manager to support accurate billing, timely claims submission, AR follow-up, credentialing visibility, payer compliance, and revenue cycle reporting across our clinic, home, and school-based services. In this role, you will review and submit claims, monitor accounts receivable, assist with denial resolution, track documentation and timesheet issues that impact billing, support credentialing and payer enrollment tracking, and prepare regular revenue cycle updates for leadership.
Medical Biller (Front Loader) Clínica Monseñor Oscar A. RomeroMedical Biller (Front Loader)Los Angeles, CAPrevious experience in medical billing or Medical Front office running eligibilities for all payers, Medi-Cal, Medicare, commercial plans. Position Summary: The Front-Loading Specialist is responsible for ensuring efficient and accurate loading of patient registration information into the Electronic Health Record (EMR) system prior to the patient's scheduled appointment.
Sleep Apnea Medical Biller Aava InternationalSleep Apnea Medical BillerIrvine, CAFull timeZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy.
Medical Biller - Hospital - Commercial Biller GuidehouseMedical Biller - Hospital - Commercial BillerSan Marcos, CaliforniaCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers.
Medical Biller ObjectWin Technology IncMedical BillerCASpecific Skills Needed: Medical Billing, cash application and collection (collection is not calling demanding payment; it''s researching why a claim didn''t get paid and taking steps necessary to correct the info). Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.
Claim Review Specialist - Facility Coding - Certification Required CorroHealth IncClaim Review Specialist - Facility Coding - Certification RequiredCARemoteJOB SUMMARY: Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Must have strong understanding of the Official Coding Guidelines, OP coding and billing (i.e. including but not limited to knowledge of rev codes, HCPCS, MUE and CCI edits, UoS and ICD-10 CM).
Charge Capture Specialist Career StrategiesCharge Capture SpecialistLos Angeles, CaliforniaWe encourage candidates who meet these qualifications to apply for this exciting opportunity to contribute to our dedicated team in the healthcare field. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification (preferred).
Pharmacy Specialist-Behavioral Health - Sharp Grossmont Hospital - Variable Shift - Full Time Sharp Health PlanPharmacy Specialist-Behavioral Health - Sharp Grossmont Hospital - Variable Shift - Full TimeLa Mesa, CA$77.91–$100.53 / hourCertification/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. Demonstrates proactive participation in medication safety initiatives as demonstrated by: Knowledge of and active participation in concurrent medication safety event (MSE) monitoring programs, as demonstrated by interventions and eQVR submissions.
PB Coding Audit Supervisor Cedars-Sinai Medical CenterPB Coding Audit SupervisorLos Angeles, CAA minimum of 2 years of experience with outpatient/ambulatory care coding or inpatient acute care coding required, with familiarity with ICD-10-CM, CPT-4 coding and APC payment methodologies required. Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.