- Sharp HealthCare (La Mesa, CA)
- …Medical Group on Health Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician, on patients that are out-of-network.Follow process ... related, update appropriate visit fields indicating known details.Follow defined documentation process with homeless patient (ie notating 'SB1152' in FirstNet… more
- Providence (Diamond Bar, CA)
- **Description** Under the general supervision of the Clinic Manager /Supervisor, this position is responsible for scheduling surgical procedures. Key responsibilities ... include preparing clinical data for submission of request for prior authorization,...of request for prior authorization, maintaining appropriate logs, and documentation of authorizations status. Providence caregivers are not simply… more
- Providence (Mission Hills, CA)
- …Activities of this role can impact the open enrollment period, and submission of documentation and recuperation of coding to improve Risk Adjusted Factors (RAF) ... **Description** Under the supervision of the Senior Manager Provider Relations, this position is responsible for physician recruitment related activities and… more
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