- IQVIA (Carlsbad, CA)
- …+ Ability to follow direction + Previous healthcare experience preferred + Prior recall experience preferred + Strong technical software skills required + Ability ... to work remotely from a home office; equipment provided + Ability to work PST business hours required **Position Responsibilities** + Coordinate schedules for field technical teams and ensure timely deployment + Manage vendor credentialing process, including… more
- Sutter Health (San Francisco, CA)
- …Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals ... and/or authorizations accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans and contracted providers. Provides support to the Case Management staff.… more
- Joni and Friends (Agoura Hills, CA)
- …to enable individuals with disabilities to perform the essential functions of the job. Prior to applying for any position with Joni and Friends, all applicants must ... review our Statement of Faith and Mission Statement (below). MINISTRY LIFE: Joni and Friends desire is to glorify God in the way we conduct ourselves, and in the work we do. Employment at Joni and Friends is not just a job but a calling from God to serve and… more
- CVS Health (Sacramento, CA)
- …to verify accuracy of claim payment, member eligibility data, billing/payment status, prior to initiation of appeal process. + Research incoming electronic appeals, ... complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria. + Research Standard Plan… more
- John Muir Health (Walnut Creek, CA)
- …Required Call Rotation required ARDMS ABD, OB Required RVT Highly preferred before hire Prior history working with students helpful Work Shift Days: 3 days a week, ... Varying Monday-Friday, rotating call is required. **Work Shift:** 08.0 - 08:00 - 16:30 No Waive (United States of America) **Pay Range:** $84.03 - $126.05 Hourly Offer amounts are based on demonstrated/relevant experience and/or licensure. Pay will be adjusted… more
- Spanish Peaks Mountain Club (Irvine, CA)
- …variable pay + Ensure all employee time records are accurate and properly approved prior to processing payroll. + Act as liaison with accounting and human resource ... departments. + Process adjustments, wage garnishments, loan payments, commuter benefits, employment verifications, and manual check processing, + Resolves payroll discrepancies by collecting and analyzing information. + Collaborate with state agencies for… more
- Stanford Health Care (Palo Alto, CA)
- …(United States of America) Strongly Preferred Qualifications: - Insurance knowledge - Prior Authorization experience **This is a Stanford Health Care job.** **A ... Brief Overview** As a foundational level, the PCC II, is expected to learn and apply job skills, policies, and procedures to complete moderate assignments and tasks. They should exercise judgment within defined guidelines to determine appropriate actions. The… more
- Robert Half Office Team (Commerce, CA)
- …experience in an administrative operations role in a similar environment * Prior experience working with a "Service Industry Based Software" enterprise and ... accounting management software (ie, Servman) * Recent experience managing complex workforce scheduling in a fast-paced environment * Advanced Proficiency in Microsoft Office applications (including Outlook, Word, and Excel) heavy data manipulation in Excel *… more
- Emanate Health (West Covina, CA)
- …**ob Summary** Conducts pre-visit planning by reviewing and updating patient charts prior to appointment with recent test results and correspondence. Call patient ... regarding test results as instructed by provider. Prepares and coordinates all referrals. Arrange appointments on behalf of patients. Communicates with patients to ensure follow-through with referrals. Supports office in synchronizing appointments,… more
- Sutter Health (San Francisco, CA)
- …patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization ... and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards. **Job Description** : **EDUCATION:** HS Diploma or GED **TYPICAL EXPERIENCE:** 1 year recent relevant… more