We’re delighted you’re considering joining us! At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.
Job Description:Performs daily operational functions to effectively process authorization requests for full risk and shared risk group plans. Forwards and tracks requests to Utilization Review (UR) and processes determination upon return. Conducts research and communication with
Medical Coding Specialist Responsible for reviewing demographic and clinical medical records, assigns appropriate ICD-10-CM/PCS and CPT/HCPC codes based on provider documentation and current coding guidelines. Enters this information into the electronic system for the purpose of maintaining a complete
Clinical Cost Forecasting Analyst Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and
Technical Compliance Auditor Hospice of the East Bay (HEB) is a community-based hospice providing compassionate end-of-life care to patients and families across the East Bay. Our interdisciplinary team supports patients regardless of ability to pay, with
Job Opportunity at Sutter Health We are so glad you are interested in joining Sutter Health! Position Overview: Responsible and accountable for facilitating, measuring, evaluating, and reporting on the clinical and operational performance of system-wide patient
Medical Biller & Revenue Cycle Manager Benefits: Dental insurance, employee discounts, health insurance, paid time off, vision insurance Location: Brentwood, CA Work Arrangement: In person Employment Type: Full time, exempt Schedule: Monday through Friday, business hours
Coding Specialist Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with
Cost Avoidance Specialist I Under the direction of the Cost Avoidance Supervisor, the Cost Avoidance Specialist I monitors activities related to cost savings and recoveries of medical claim payments; identifies and verifies members other health coverage
Claims Examiner Training Specialist Train examiner and customer service level I staff on all related claim types for all Partnership lines of business using AMISYS Advance system and Claims Operating Instruction Memorandums. Responsibilities Train all levels
Manager Of Overpayment Recovery Services Under the direction of the Associate Director of Internal Audit or above, the Manager of Overpayment Recovery Services is responsible for overseeing the Provider Check Posting and Recovery Teams, while coordinating
Job Title Research and Resolve Complex Claims Issues Job Description To research and resolve complex claims issues which cross interdepartmental lines and communicate the outcome to providers and affected Partnership managers. Develops and maintains provider training
Professional Surgical Coder At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery
Job Title To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects. To accurately research and process paper and electronic medical, outpatient, ancillary,
JOB DESCRIPTION Job Description Description: - Established in 1972, Dermatology Associates of Concord is a leading Physician-owned dermatology practice dedicated to providing exceptional care to our patients. The practice consists of 14 providers and has offices
JOB DESCRIPTION Job Description Description: Hospice Medical Billing Specialist Pay: $26–$32 per hour Schedule: Full Time, 40 hours/week Location: In-person (Walnut Creek / Bay Area) Overview Alameda Care Hospice is a compassionate, community-focused hospice provider serving