• Healthcare Process Risk Manager (Internal…

    Grant Thornton (San Francisco, CA)
    …related to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing , billing, and reimbursement, with a focus on ... 4 years of direct experience with diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and… more
    Grant Thornton (08/27/25)
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  • Field Support Manager

    Maxim Healthcare (Monterey, CA)
    …with federal, state and local guidelines or regulations + Coordinates responses and processing of unemployment and workers' compensation claims + Responsible for ... Maxim Healthcare is hiring for a Field Support Manager...Business, Marketing, Management, Communications, Public Relations, Human Resources or Healthcare Administration + Minimum one year operations or administrative… more
    Maxim Healthcare (08/21/25)
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  • Appeals/Grievance Coordinator I - SHP Operations…

    Sharp HealthCare (San Diego, CA)
    …non-clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims , utilization review, appeals or member services in a managed care ... requests for assistance.Provides feedback to Customer Service, Enrollment, Provider Relations, Claims Research, and Health Services on issues and trends identified… more
    Sharp HealthCare (08/20/25)
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  • Appeals/Grievance Coordinator I - SHP Operations…

    Sharp HealthCare (San Diego, CA)
    …non-clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims , utilization review, appeals or member services in a managed care ... skills. + Computer skills must include experience with electronic mail, word processing , spreadsheets, and internet research. + Adept in both written and oral… more
    Sharp HealthCare (08/20/25)
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  • Medical Biller - Hospital

    Robert Half Accountemps (Los Angeles, CA)
    …within a healthcare setting, with a strong understanding of insurance claims processing . + Technical Skills: Familiarity with electronic medical records ... focused on delivering exceptional financial and administrative support in the healthcare field. Key Responsibilities: + Insurance Claims Follow-Up: Proactively… more
    Robert Half Accountemps (08/17/25)
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  • Senior Participant Services Analyst

    Insight Global (Burbank, CA)
    …implementing solutions; addressing unresolved problems - Review and research incoming healthcare claims by navigating multiple computer systems and platforms ... to each claim by using the appropriate processes and procedures (eg claims processing policies and procedures, grievance procedures, federal mandates,… more
    Insight Global (07/12/25)
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  • Financial Business Systems Analyst

    Cedars-Sinai (Los Angeles, CA)
    …solution definition, applications development and maintenance and enhancements for finance, claims processing , revenue management, and billing systems. Primary ... outstanding benefit package that includes paid time off, great healthcare , and a 403(b). Join us! Discover why US...for partners. + Address inquiries and provide support regarding claims processing and clearinghouse operations. + Implement… more
    Cedars-Sinai (06/07/25)
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  • Revenue Cycle Specialist III (Remote)

    Cedars-Sinai (CA)
    …with the ANSI X12 837 format used for electronic submission of professional healthcare claims . Understanding of the key segments, including: + ISA/GS/GE/ST ... Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on… more
    Cedars-Sinai (08/02/25)
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  • Lead Data Scientist - Research and Development…

    Highmark Health (Sacramento, CA)
    …You will proactively identify opportunities to construct and leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , ... from concept to prototype. + ** Healthcare Data Familiarity:** Understanding of healthcare data domains ( claims , clinical, EMR) and related ontologies or… more
    Highmark Health (08/29/25)
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  • Supervisor, Revenue Cycle Management, Billing

    Cardinal Health (Fresno, CA)
    …team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The ... and pursuing payment for all unpaid and delinquent denied claims . They also act as a liaison between the...accomplishing related results as needed. + Ensure that all processing and reporting deadlines are consistently achieved. + Oversee… more
    Cardinal Health (08/14/25)
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