- Movn Health (CA)
- …Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This is a hands-on, senior-level role ... payer systems is essential. Functional Responsibilities + Submit clean claims via EHR to all payers within 24 hours...Strong command of medical coding (ICD-10, CPT, HCPCS) and healthcare compliance (HIPAA, CMS) + Proven success in reducing… more
- Cognizant (Sacramento, CA)
- …have strong technical skills in MS Excel and preferably experience in IVR and Healthcare Call Center domains. This is a work-from-home position with day shifts and ... no travel is required. The role involves managing and optimizing healthcare processes to improve efficiency and patient satisfaction. **Responsibilities:** Reviewing… more
- Dignity Health (San Bernardino, CA)
- …position, you will serve as the central liaison between employees, management, healthcare providers, and our third-party administrator. You will guide the claims ... from start to finish-investigating work-related injuries, managing documentation, monitoring claims , and coordinating transitional duty plans. Your efforts will… more
- Dignity Health (Bakersfield, CA)
- …deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions ... Optimization: Identify high-impact manual processes across departments such as Claims , UM, Credentialing, and Provider Data. Facilitate automation readiness… more
- Otsuka America Pharmaceutical Inc. (San Francisco, CA)
- Otsuka America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health worldwide." ... In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering… more
- Cedars-Sinai (Beverly Hills, CA)
- …with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the ... Medical Group and IPA's to ensure the delivery of high quality, cost-effective healthcare and aligned with all state and federal regulations and guidelines. Duties… more
- UCLA Health (Los Angeles, CA)
- …building and maintaining Tableau dashboards + Proven experience generating reports using healthcare data, with a focus on encounter/ claims , membership, and ... production reports. + Write clear specifications and design data queries for healthcare performance measures. + Apply technical expertise to gather requirements and… more
- J&J Family of Companies (Irvine, CA)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- J&J Family of Companies (Irvine, CA)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Competencies** **K** **nowledge** - Experience working in the pharmaceutical and/or healthcare industry. - Knowledge and experience with preparation of global ... clinical development, project management, quality assurance, etc.) in pharmaceutical or healthcare related industry. Experience with FDA or other health authority… more