Reimbursement Specialist United Seating & MobilityReimbursement SpecialistCARemoteAnalyze and document trends related to payer denials, underpayments, overpayments, fee schedule changes, and BCC workflow related to unapplied deposits and other billing and collections functions. As North America's largest provider of mobility products and services, we deliver personalized solutions from manual and power wheelchairs to medical supplies and other assistive technologies that support health, independence, and everyday participation.
Corporate Senior Government Reimbursement Specialist Prime Healthcare Management IncCorporate Senior Government Reimbursement SpecialistOntario, California$94,848–$142,272 / yearFull timeKnowledge of Medicare rules on Medicare DSH, Medicare bad debts, charity and hospital bad debts for S-10, Interns and Residents FTE counts, ESRD Add-on, Nurse Allied Health Education, Rural Health Clinic, Sole Community Hospital, Critical Access Hospital and Low Volume Adjustment. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Reimbursement Specialist CareDx IncReimbursement SpecialistBrisbane, CARemote$26–$33 / hourThe Specialist will work closely with the CareDx Payer Dispute Resolution and Market Access teams to ensure CareDx receives coverage and appropriate reimbursement from contracted and non-contracted payers and government health plans. CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers.
Corporate Senior Government Reimbursement Specialist Prime Healthcare Services IncCorporate Senior Government Reimbursement SpecialistOntario, CA$94,848–$142,272 / yearExperience in preparing and completing entire Medicare and Medicaid cost reports for a multi-state hospital system and provide the support at audit Knowledge of Medicare rules on Medicare DSH, Medicare bad debts, charity and hospital bad debts for S-10, Interns and Residents FTE counts, ESRD Add-on, Nurse Allied Health Education, Rural Health Clinic, Sole Community Hospital, Critical Access Hospital and Low Volume Adjustment. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
NewReimbursement Specialist I Tandem Diabetes Care IncReimbursement Specialist ICARemote$23–$25 / hourSTAY AWESOME: Tandem Diabetes Care is proud to manufacture and sell the Tandem Mobi system and t:slim X2 insulin pump with Control-IQ+ technology - an advanced predictive algorithm that automates insulin delivery. Demonstrated ability to effectively communicate over the phone with customers and insurance companies to resolve clear-cut issues and answer questions according to department protocols and requirements.
Reimbursement Specialist, Appeals Lucid Diagnostics IncReimbursement Specialist, AppealsLake Forest, CAThis role combines payor terminology knowledge, ability to understand denials, basic payor policy comprehension, and cross-functional collaboration to handle appeals and ensure accurate reimbursement across all lines of business. Here's what you can expect when you join our team: Comprehensive Benefits: Enjoy top-tier medical, dental, and vision coverage, with 98% of employee healthcare premiums paid by the company, plus company-paid basic life insurance, and short- and long-term disability coverage.
Reimbursement Specialist I FFF_EnterprisesReimbursement Specialist ITemecula, CAFull timeThorough knowledge of medical reimbursement principles and medical code sets, including: HCPCS, ICD-10, NDC and CPT. Excellent written and verbal communication skills, excellent interpersonal skills-team player.
Field Reimbursement Specialist Cencora IncField Reimbursement SpecialistCA$93,500–$187,000 / yearAs an FRS, a typical day might include: Educate provider office staff and practice managers on insurance issues relevant to the supported clients product, and inform the staff of important coverage and payer policy changes within assigned territories. The FRS play a critical role in ensuring patients can access specialty medications by educating healthcare providers and their staff on complex insurance and reimbursement processes and resolving access barriers.
Reimbursement Specialist, Appeals Lucid DiagnosticsReimbursement Specialist, AppealsLake Forest, CaliforniaThis role combines payor terminology knowledge, ability to understand denials, basic payor policy comprehension, and cross-functional collaboration to handle appeals and ensure accurate reimbursement across all lines of business. Here’s what you can expect when you join our team: Comprehensive Benefits: Enjoy top-tier medical, dental, and vision coverage, with 98% of employee healthcare premiums paid by the company, plus company-paid basic life insurance, and short- and long-term disability coverage.
Reimbursement Specialist I - Home Care - Patient Financial Services Rady Children's HospitalReimbursement Specialist I - Home Care - Patient Financial ServicesSan Diego, CA$21–$28.88 / hourJOB SUMMARY: Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector.
Reimbursement Specialist Veracyte IncReimbursement SpecialistSan Diego, CARemote$24–$33.50 / hourOur Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. Your primary role will be to take part in the day-to-day operations of the insurance billing life cycle to facilitate a smooth reimbursement process (i.e., verifying patient insurance coverage and benefits, ensuring timely insurance claim submissions, payment posting, performing A/R Follow-Up, sending appeals et al.).
Reimbursement Specialist PST Time Zone Veracyte IncReimbursement Specialist PST Time ZoneSan Diego, CARemote$25–$31 / hourOur Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. Your primary role will be to take part in the day-to-day operations of the insurance billing life cycle to facilitate a smooth reimbursement process (i.e., verifying patient insurance coverage and benefits, ensuring timely insurance claim submissions, payment posting, performing A/R Follow-Up, sending appeals et al.).
Temporary, Billing Reimbursement Specialist II NeoGenomics IncTemporary, Billing Reimbursement Specialist IICANow that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics: As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. They will work with Third Party insurance bills (HMO, PPO, IPA, TPA Indemnity, Medicare, and Government) responsible for processing independent laboratory claims and Patient Billing.
NewMedi-Cal Collections Specialist: Claims & Reimbursements UCLAMedi-Cal Collections Specialist: Claims & ReimbursementsLos Angeles, CA$27.65–$39.27 / hourA leading healthcare provider in Los Angeles is seeking a Medi-Cal Collections Representative to manage a portfolio of inpatient and outpatient claims. The role offers a salary range of $27.65 to $39.27 per hour, making it an attractive opportunity for individuals with claims management experience.#J-18808-Ljbffr.
Purchase Reimbursement Coordinator Golden Gate Regional CenterPurchase Reimbursement CoordinatorSan Rafael, CA$47,618–$57,141This is a Hybrid flex schedule role offering the opportunity to work in the community, from any of our offices located in San Francisco, San Mateo and Marin County and from the comfort of your own home. This role will coordinate and process caregiver reimbursements for out-of-pocket expenses incurred for services for an individual enrolled in the Golden Gate Regional Center (GGRC) Early Start program.
Sr. Manager, Field Reimbursement (Hybrid Role in Valencia, CA) Setpoint Medical CorpSr. Manager, Field Reimbursement (Hybrid Role in Valencia, CA)Valencia, CARemote$125,000–$175,000 / yearAt least 4 years' experience working in medical device reimbursement, market access, healthcare consulting, accounts receivable or claims follow-up in a medical device company, healthcare provider, or third-party billing service provider. Understanding of hospital billing workflows, ancillary systems (OR systems, materials master files, charge routers, etc.) and ability to learn and use IT systems such as EPIC, Cerner, etc.
Senior Manager, Reimbursement Operations & Field Market Access - ION Intuitive Surgical IncSenior Manager, Reimbursement Operations & Field Market Access - IONSunnyvale, CAOn the provider side, this person generates billing guides, fields customer reimbursement questions, develops provider education materials, and supports all field logistics related to coding implementation. Certain information you provide as part of the application will be used for purposes of determining whether Intuitive Surgical will need to (i) obtain an export license from the U.S. Government on your behalf (note: the government's licensing process can take 3 to 6+ months) or (ii) implement a Technology Control Plan ("TCP") (note: typically adds 2 weeks to the hiring process).
Reimbursement Representative 26-00070 Alura Workforce SolutionsReimbursement Representative 26-00070Irvine, CAIndependently perform claims follow-up and collections activities such as resolving claims denials and rejections through claim resubmissions, corrected claims and appeals in compliance with Billing Department's approved reimbursement strategies in a timely manner. Provides the highest level of customer service in answering patient phone calls and resolve patients' questions and/or billing issues, as well as communicate with doctors' offices and their staff.
Reimbursement Representative Alura Workforce SolutionsReimbursement RepresentativeLaguna Hills, CAIndependently perform claims follow-up and collections activities such as resolving claims denials and rejections through claim resubmissions, corrected claims and appeals in compliance with Billing Department's approved reimbursement strategies in a timely manner. Provides the highest level of customer service in answering patient phone calls and resolve patients' questions and/or billing issues, as well as communicate with doctors' offices and their staff.
Cornea Reimbursement Liaison - San Francisco, CA | Boise, ID | Cheyenne, WY | Helena, MT | Salt Lake City, UT Glaukos CorpCornea Reimbursement Liaison - San Francisco, CA | Boise, ID | Cheyenne, WY | Helena, MT | Salt Lake City, UTSan Francisco, CARemoteThis individual appropriately educates HCPs and their office staff on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels. Specific responsibilities include but are not limited to: Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.
Regional Manager, Field Reimbursement - MedTech (Western US) CVRx IncRegional Manager, Field Reimbursement - MedTech (Western US)CARemoteReporting directly to the Senior Vice President of Reimbursement, this role serves as the regional reimbursement authority, partnering with healthcare providers and the commercial organization to navigate reimbursement complexity, improve patient access, and accelerate appropriate adoption of Barostim therapy. CVRx is pioneering the future of cardiovascular care through Barostim therapy, delivering an innovative treatment option for patients with heart failure while advancing our mission to improve lives through science, innovation, and patient access.
Field Reimbursement Manager FRM, Endocrinology - Northern CA Corcept Therapeutics IncField Reimbursement Manager FRM, Endocrinology - Northern CACARemote$154,000–$200,000 / yearThis role serves as the subject matter expert on access and reimbursement for Korlym, Mifepristone AG, and Relacorilant, supporting healthcare providers (HCPs), field sales teams, specialty pharmacies (SPs), and our patient support HUB to resolve barriers to patient access. With advanced clinical trials in patients with hypercortisolism, solid tumors, ALS and liver disease, Corcept is unlocking the power of cortisol modulation to help address some of the most devastating diseases patients face today.
Field Reimbursement Manager FRM, Endocrinology - Los Angeles/Arizona Corcept Therapeutics IncField Reimbursement Manager FRM, Endocrinology - Los Angeles/ArizonaLos Angeles, CARemote$154,000–$200,000 / yearThis role serves as the subject matter expert on access and reimbursement for Korlym, Mifepristone AG, and Relacorilant, supporting healthcare providers (HCPs), field sales teams, specialty pharmacies (SPs), and our patient support HUB to resolve barriers to patient access. With advanced clinical trials in patients with hypercortisolism, solid tumors, ALS and liver disease, Corcept is unlocking the power of cortisol modulation to help address some of the most devastating diseases patients face today.
Customer Service Billing Specialist I Breg IncCustomer Service Billing Specialist ICarlsbad, CA$21–$26 / hourActual pay is based on many factors unique to each candidate, including but not limited to geographical location, work experience, skill set, relevant trainings and certifications, and business needs. You bring expertise in the ability to communicate effectively both written and verbally and are eager to contribute to a team that is committed to delivering exceptional patient outcomes.
Medical Billing Specialist Center Point, IncMedical Billing SpecialistSan Rafael, California$28–$30About Center Point, Inc: Center Point’s mission is to provide comprehensive social, educational, vocational, medical, psychological, housing, and rehabilitation services to combat social problems such as substance abuse, poverty, unemployment, and homelessness. Center Point offers rehabilitation and treatment services that interrupt the abusive cycles of psychological, social, and economic dislocation by providing critical training and support so that individuals and families can claim self-worth and dignity.
Medical Billing Specialist I/II - Behavioral Health County of VenturaMedical Billing Specialist I/II - Behavioral HealthOxnard, CA$47,840–$69,546.52 / yearLATERAL TRANSFER OPTION: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. Current Procedural Terminology Codes (CPT) codes, International Classification for Diseases (ICD)-10 codes, Health Care Procedure Coding System (HCPCS) codes for payment processing of Medicare and/or Medi-Cal.
Legal Office Specialist City of Santa ClaraLegal Office SpecialistSanta Clara, CA$93,902.28–$119,658.60 / yearThe Department: The responsibilities of the City Attorneys Office consist of representing and advising the City Council and all City officers in all matters of law pertaining to their offices, representing and appearing on behalf of the City in all legal actions or proceedings, providing the City Council with information and advice regarding ongoing litigation and legislation affecting the City, and staffing City Council meetings and City boards and commission meetings as necessary. The City Attorneys Office provides legal advice and support on matters initiated by the City Council, City Managers Office, and City departments, including review and negotiation of contracts, leases, licenses, policies, and Public Records Act requests responses.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTSacramento, CARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
Inventory Control Specialist I - Medical Devices Arthrex IncInventory Control Specialist I - Medical DevicesSanta Barbara, CAThe Inventory Control Specialist I will ensure that throughput, workflow and production plan goals are accomplished by providing support to Production, Logistics, Quality, and Engineering functions in processing direct and indirect material through receiving, storing, issuing and shipping. Reasoning Ability: Ability to identify and define problems, collect data, analyze established facts, draw valid conclusions, and effectively communicate the information both verbally and in writing to a variety of audiences.
Medi-Cal Eligibility Resolution Specialist - San Diego LibertanaMedi-Cal Eligibility Resolution Specialist - San DiegoSan Diego, CA$27–$30 / hourThe Medi-Cal Eligibility Resolution Specialist is responsible for identifying, resolving, and preventing Medi-Cal eligibility issues that impact member access to services or hinder reimbursement. This role ensures timely coordination of Medi-Cal redeterminations, collaborates with county eligibility offices, and supports members through complex eligibility processes.
Medical Account Specialist II - HEMATOLOGY - SAN FRANCISCO, CA Regeneron Pharmaceuticals IncMedical Account Specialist II - HEMATOLOGY - SAN FRANCISCO, CASan Francisco, CA$158,950–$220,000 / yearFacilitate partnership with multiple collaboration partners; Regional Director, Nurse Educator, Key Account Manager, Territory-based Oncology Account Specialists, and Reimbursement Specialists to proactively resolve customer needs, identify market dynamics and trends, and develop strategies which support brand and corporate objectives in assigned territory. The Hematology Oncology Account Specialist is responsible for engaging Hematologist and other key Oncology customers within a geographical universe and settings, including academic centers, large group practices, IDNs, and community accounts in support of the launch of our Multiple Myeloma product.
Medical Account Specialist II - HEMATOLOGY - INLAND EMPIRE, CA Regeneron PharmaceuticalsMedical Account Specialist II - HEMATOLOGY - INLAND EMPIRE, CAPasadena, CaliforniaFacilitate partnership with multiple collaboration partners; Regional Director, Territory-based Oncology Account Specialists, Reimbursement Specialists to proactively resolve customer needs, identify market dynamics and trends, and develop strategies which support brand and corporate objectives in assigned territory. Build our future together : The Hematology Oncology Account Specialist is responsible for engaging Oncology specialists and other key Oncology customers within a geographical universe and settings, including academic centers, large group practices, IDNs, and community accounts in support of the launch of our Multiple Myeloma product.
Medical Billing & Coding Specialist CrewBloomMedical Billing & Coding SpecialistLos Angeles, CARemoteYou will work closely with healthcare practitioners in private practices and medical clinics to accurately review, assign, and manage medical codes, ensuring compliant billing, timely reimbursements, and efficient revenue cycle operations. While industry certifications are a plus, what matters most is hands-on experience with medical billing and coding, particularly a strong understanding of Eye Care Practice (ECP) coding guidelines and regulations.
Clinical Nurse Specialist - NICU San Joaquin CountyClinical Nurse Specialist - NICUSan Jose, CAMobilityâConstant walking; frequent operation of a data entry device; standing for long periods of time; pushing/pulling, bending and squatting; occasional sitting for long periods of time; running, climbing stairs and climbing; LiftingâFrequent restraining lifting/turning of heavy objects or people; VisualâConstant need for overall vision, color and depth perception, hand/eye coordination, and field of vision/peripheral vision; frequent reading and close up work; DexterityâFrequent holding, reaching, grasping, repetitive motion and writing; Hearing/TalkingâConstant hearing of normal speech; frequent hearing and talking on telephone or radio; occasional hearing of faint sounds and talking over public address; Emotional/PsychologicalâConstant concentration and public contact; occasional exposure to hazardous materials, frequent exposure to emergency situations, including trauma, grief and death, decision making; Special RequirementsâWorking overtime, weekends, nights and holidays; working alone and overtime; EnvironmentalâOccasional exposure to assault behavior by clients; occasional exposure to noise, cold/heat, hazardous materials, dirt, dust, smoke, fumes and poor ventilation. Perform and demonstrate advanced nursing techniques; develop teaching plans and instruct staff; provide and promote a positive learning environment; motivate and teach staff, patients, and patientsâ families in assisting in their own care and health maintenance; give oral and written directions of technical and professional nature; interpret policies and procedures; deal with patients and their families empathetically and respectfully; gather and analyze data; operate computers and related software and apply computer applications to departmental functions; establish and maintain cooperative working relationships with hospital staff and outside agencies; maintain accurate records and prepare reports; communicate effectively, both orally and in writing; speak before groups; coordinate the work of several specialty related groups.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusSacramento, CARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Safety Specialist Sacramento County CouncilSafety SpecialistSacramento, CA$96,632.64–$117,450 / yearAttended in the last one (1) - three (3) months Attended in the last four (4) - six (6) months Attended in the last seven (7) months - one (1) year Attended an event more than one (1) year ago Have attended a career fair and/or job event but did not interact with Sacramento County representatives Have not attended a career fair and/or job event 25 List the following for the career fair and/or job event you attended: Name of event Location of event * Month and year of event If you have not attended an event where you interacted with representatives from Sacramento County, please type "None". No. 20 All employees in this class may need the ability to stoop and kneel to conduct inspections; inspect equipment, climb fences, stairs, and ladders, walk rough terrain and muddy fields; climb into and out of close spaces; wear protective clothing and respirator; visually distinguish between colors, read gages and meters, and see in dimly lit areas, lift and carry up to 50 pounds.
Medical Collections Specialist (on-site) Pacific Medical Inc.Medical Collections Specialist (on-site)Tracy, CARemoteFull timeVacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance. Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.
BSA Compliance Specialist First City Credit UnionBSA Compliance SpecialistAltadena, CAFull timeResponsible for reviewing reports used for detection of, and accurate filing of, Currency TransactionReports(CTRs) andSuspiciousActivityReports(SARs)as This includes coordinating with branches and departments to review, investigate, and report timely. Reviews fraudulent transactions, notification emails, returned items and related accounts and/or loans to detect and help identify and prevent the occurrence of fraudulent.
NewSpecial Education Teacher - Education Specialist *Up to $55/hr Connected Health Care, LLCSpecial Education Teacher - Education Specialist *Up to $55/hrOakland, CAA Genuine Partnership Built on Trust : We're not just a staffing firm; we're your advocate in a competitive world turning challenges into rewarding paths with empathy, transparency, direct client focus for seamless fits, and a network that feels like family, helping you build the career you deserve. Support Your Lifestyle : Paid housing or stipends (pet-friendly!) travel/mileage reimbursements; guaranteed hours and cancellation protection; nationwide opportunities spanning from major metros to underserved areas, We manage the details so you can focus on what matters most in your personal and professional life.
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.
Clinical Documentation Specialist City of HopeClinical Documentation SpecialistCACity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. As an essential member of the Coding and Data Quality team, the Clinical Documentation Specialist is responsible for improving the quality, accuracy, and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality.
Behavior Support Specialist The Stepping Stones Group LLCBehavior Support SpecialistRocklin, CA$18–$25 / hourCenter-Based ABA Therapy. Summer Intensive Program.
NewRisk Adjustment Compliance Coding Specialist, Consultant Blue Cross and Blue Shield AssociationRisk Adjustment Compliance Coding Specialist, ConsultantOakland, CAProvider Collaboration: Engage with physicians, advanced practice providers, and clinical staff to clarify ambiguous documentation, provide education on best practices, and resolve coding questions to ensure accurate capture of patient acuity. Education and Training: Develop and deliver training sessions and educational materials to coding staff, providers, and ancillary teams on risk adjustment principles, compliant documentation, and the significance of accurate coding for organizational success.
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.
MDS Specialist - LVN Royal Terrace HealthcareMDS Specialist - LVNDuarte, CAPart timeEnsures that care plan includes measurable objectives and timetables to meet resident's medical, nursing, mental and psychosocial needs, that appropriate health professionals are involved in assessment, and that schedule of activities is developed as required. 1-3 years' experience providing direct care to multiple patients/residents, one years' previous MDS experience in Skilled Nursing environment preferred.
Behavior Support Specialist - Full Time The Stepping Stones Group LLCBehavior Support Specialist - Full TimeHawthorne, CA$21–$26 / hourCenter-Based ABA Therapy. Summer Intensive Program.
NewBehavior Support Specialist (Bilingual - Spanish Preferred) The Stepping Stones Group LLCBehavior Support Specialist (Bilingual - Spanish Preferred)Lancaster, CA$19–$25 / hourCenter-Based ABA Therapy. Summer Intensive Program.
Financial Services Specialist Loma Linda University Medical CenterFinancial Services SpecialistSan Bernardino, CAAble to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
CalAIM Medical Billing Specialist FRIENDS OUTSIDECalAIM Medical Billing SpecialistStockton, CAVerify member eligibility with assigned MCPs prior to billing and throughout service enrollment periods Monitor and maintain ECM and Community Supports authorizations, referrals, and service approvals Ensure services billed are authorized, medically appropriate, and documented in accordance with DHCS and MCP requirements Track authorization expiration dates and coordinate reauthorization needs with program staff. Coordinate with care managers, housing support staff, supervisors, and external partners to obtain necessary documentation and service information Communicate with MCP representatives regarding claims, authorizations, billing inquiries, and service requirements Assist staff in resolving documentation deficiencies impacting billing or reimbursement Participate in interdisciplinary meetings as needed to support program operations and billing integrity.
Dermatology Health and Science Specialist - Pasadena, CA Pfizer IncDermatology Health and Science Specialist - Pasadena, CAPasadena, CA$108,600–$250,700 / yearMinimum of 3 years of previous Pharmaceutical biotech or medical marketing/promotional/sales experience, a promoted position and or developmental role with demonstrated leadership across peer groups with experienced marketing, promotional and sales in a specialized market where third-party reimbursement and service center has been utilized OR an associate's degree with 8+ years of experience; OR a high school diploma (or equivalent) with 10+ years of relevant experience. Compliantly delivers relevant, targeted messaging utilizing approved materials via customer engagement to drive product demand (ask the HCP to change their prescribing behavior/close sales) and leverages account priorities to drive a positive business outcome; proactively provides insights for the development of new and innovative approved product messaging and resources.