Up To $25,000 Sign On Bonus For Qualified RNs! Summary The Registered Nurse (RN) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, payers, and the Guthrie Clinic health system business
Associate Patient Services Specialist at Queen of the Valley Medical Center Hospital. This position is Part time and will work 8-hour Day Shifts. Providence Queen of the Valley Medical Center Providence Queen of the Valley Medical
Associate Patient Services Specialist at Queen of the Valley Medical Center Hospital. This position is Per Diem and will work 8-hour Day Shifts. Providence Queen of the Valley Medical Center Providence Queen of the Valley Medical
Position OverviewAs part of the Revenue Integrity team, the CDM Analyst is responsible for managing and coordinating the Charge Description Master (CDM) and Charge Generation Tracker (CGT) for United Health Services Entities 0101 (UHS) which utilizes
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
As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. UCSF
Job Description 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 charges
Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections, denials, edits, and reimbursement issues across a multi-site, multi-specialty healthcare organization specializing in pain management, physical medicine, and
Billing Specialist Kerare Medical is looking for a Billing Specialist to join our team. You will be responsible for billing and collecting for durable medical equipment (DME) services. Ensure accurate coding, claim submission, and follow-up to maximize
Join Optum 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
Hospice Medical Billing Specialist Alameda Care Hospice is a compassionate, community-focused hospice provider serving patients and families throughout the Bay Area. We are committed to high-quality, patient-centered care while maintaining operational excellence and regulatory compliance. We
Revenue Cycle Management Auditor The Revenue Cycle Management Auditor is responsible for conducting comprehensive audits across all phases of the revenue cycle to ensure accuracy, compliance, and optimal reimbursement. This role is critical in identifying revenue
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
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 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
Job Title Insurance/Payer Information Specialist Job Description Primary Job Duties Gathers, updates and verifies insurance/payer information and ensures accurate entry into the practice management system. Verifies insurance type and eligibility for care. Prioritizes referrals based on
Job Description At NorthBay Health, the Surgery Scheduler functions as a member of the clinic patient care team. Performs duties and orchestrates complex logistics required to schedule patient tests, pre-op/post-op visits, and complex surgical procedures. Responsible
Operations Supervisor (Dental) At Community Medical Centers (CMC), were passionate about improving health and well-being in the communities we call home. Thats why we work to ensure even our most vulnerable neighbors have affordable access to
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
ED Professional Coder II Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield California. Candidates must be available schedule 7am -5pm PST. At NorthBay Health, the ED Professional