Government Audit Recovery Specialist IMCS Group IncGovernment Audit Recovery SpecialistCosta Mesa, CAAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.
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).
Business Office Specialist Long Beach Healthcare CenterBusiness Office SpecialistLong Beach, CA$22–$28 / hourFull timeHigh school diploma or equivalent required; AA degree from accredited college in business, accounting or related field preferredKnowledge of general accounting principles and mathematical conceptsIf handling Accounts Receivable function, must be able to understand and implement healthcare reimbursement and billing principles. In the accounts receivable function, is responsible for processing accounts receivable transactions accurately and timely in accordance with company policy to maximize cash flow and ensure company accounts receivable targets are met.
Medical Collections Specialist Marquee StaffingMedical Collections SpecialistNewport Beach, CAWe are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered. Duties: Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
Revenue Cycle Training Specialist Pennant Group IncRevenue Cycle Training SpecialistCARemote$70,000–$80,000 / yearEstablishes and maintains positive and collaborative working relationships with AR Service Center Resources, Billers/Billing Managers, other RC Portfolio Leaders, and payors. Maintains a comprehensive working knowledge of payor contracts and ensures that agencies are billing and collecting according to contract provisions, and adjusts training courses accordingly.
Payment Processing Specialist Skilled Wound CarePayment Processing SpecialistLos Angeles, CA$21–$26 / hourThe processor handles a variety of payment methods including credit cards, debit cards, checks, and electronic payments, while maintaining the highest level of patient confidentiality. The Medical Billing Payment Processor is responsible for accurately collecting, processing, and reconciling patient payments prior to and at the time of service.
NewDental Office Manager/ Treatment Coordinator Empower Dental GroupDental Office Manager/ Treatment CoordinatorPasadena, California$80,000–$100,000 / yearPay Range DOE: $80,000-$100,000 Annually + $30,000 + performance bonus program; high performers can earn an additional $30K–$50K per year Required Qualifications High School Diploma or equivalent required. As we scale, we're looking for a creative, resourceful, and driven staff to help us share our story, strengthen our brand, and engage our growing network of patients and team members.
Revenue Integrity Specialist II Cedars-Sinai Medical CenterRevenue Integrity Specialist IILos Angeles, CAThe Specialist: Performs accurate and timely coding charge posting (CPT, ICD-10, HCPCS, modifiers) Maintains familiarity with such issues as CMS coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. The Revenue Integrity Spec II, of Compliance and Revenue Integrity, is responsible for fact-finding, organization, and presentation of information in a manner that facilitates patient account management, revenue recognition and process improvement efforts.
Senior Client Enablement Specialist NeoGenomics IncSenior Client Enablement SpecialistCAPosition Summary: As a Field-Based Client Enablement Billing Specialist you will play a critical frontline role in reducing bad debt and improving cash collections by partnering directly with the Sales team and high-revenue clients. This is a client-facing, field-based role that involves regular virtual meetings and travel to client sites to drive education, process improvements, and revenue integrity.
Senior Physician Assistant - Radiology UCSF Medical CenterSenior Physician Assistant - RadiologyCAKey responsibilities for this role include (but not limited to) the following: Billable inpatient evaluation and management (E&M) services including evaluation of new adult and pediatric inpatient consults, daily rounding on established IR patients, assistance with admission and discharge for primary IR patients and with care coordination for all IR patients across all UCSF campuses. UCSF APPs are expected to demonstrate accountability for their own clinical practice, participate in patient and staff education, serve as resources for APPs, APP students/fellows, physician residents/fellows, nurses and other staff, exhibit leadership skills, and engage in the mentoring of newly hired APPs.
Senior Patient Biller & Appeals Specialist University of CaliforniaSenior Patient Biller & Appeals SpecialistLos Angeles, CA$30.49–$40.20 / hourWe're seeking detail-oriented, self-directed professional with: Minimum two years of recent medical billing experience in physicians' office or clinic with Medi-Cal, Medicare, Managed Care, and PPO insurances - Required. As 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.
Specialist, Appeals & Grievances Remote Molina Healthcare IncSpecialist, Appeals & Grievances RemoteCARemoteRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
NewAssociate Specialist, Member Grievances Molina Healthcare IncAssociate Specialist, Member GrievancesCACustomer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting experience. At least 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience.
Senior Salesforce Developer Boulevard Labs IncSenior Salesforce DeveloperCARemote$182,000–$220,000 / yearWe are seeking a highly experienced Senior Salesforce Engineer to own and evolve our Salesforce platform, with a focus on complex quote-to-cash workflows powered by Salesforce Revenue Cloud (CPQ & Billing). Before launching in 2016, our founders spent months interviewing salon managers and working behind front desks to understand their pain points so we could design a modern, user-friendly platform that meets the unique needs of their business.