- UCLA Health (Los Angeles, CA)
- …concerns. + Work with Lead LVN on any clinical requests such as: medication refills; prior authorization for medications; orders for ST / PT / OT; home health ... care, etc. + Provide general administrative support including typing, filing, answering phones, taking messages, sending fax transmissions and other tasks as needed. + Respond to all patient and physician emails in a timely manner. + Compose medical necessity… more
- Cardinal Health (Sacramento, CA)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections, with a strong emphasis ... on oncology practice needs. **_Job Purpose:_** The Manager, Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims. This role leads development,… more
- Amgen (San Jose, CA)
- …reimbursement regulations and processes (ie, eligibility and benefit verification, prior - authorization , billing, coding, claims, and appeals/denials), Medicare ... and Medicaid rules and regulations, and OSHA and HIPAA compliance as related to Amgen products. + Consistently meets or exceeds corporate sales goals. + Communicates territory activity in an accurate and timely manner as directed by management. + Provides… more
- Stanford Health Care (Palo Alto, CA)
- …Hour (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.… more
- LA Care Health Plan (Los Angeles, CA)
- …regulatory requirements. + Knowledge of Coordination of Care, Medicare and Medi-Cal regulations, prior authorization , level of care and length of stay criteria ... sets. + Able to work effectively with various internal departments/service areas, LA Care's plan partners, participating provider groups, and other external agencies. + Able to operate PC-based software programs including proficiency in Word, Excel and… more
- CenterWell (Sacramento, CA)
- …SQL Server administration and query performance tuning + Experience with healthcare and prior authorization data + Experience managing data and pipelines in a ... Databricks environment + Experience with navigating change management processes in a large enterprise environment + Experience working with an enterprise scheduling system to manage job execution Travel: While this is a remote position, occasional travel to… more
- UCLA Health (Los Angeles, CA)
- …collection of accurate demographic information, soliciting for insurance information and prior authorization requirements and follow up. Provide general ... information to incoming callers regarding the referral intake process. Process managed care authorizations. Typing, faxing and maintain daily/weekly records regarding internal and incoming transplant program referrals. Delivering CICARE World Class Care… more
- Cedars-Sinai (Los Angeles, CA)
- …and holidays, ensures outside lab kits are available, refills medications and submits for prior authorization if needed. Acts as the super trainer for Point of ... Care urine and glucometer and performs NST testing in the Prenatal Diagnostic Center when coverage is needed. **Qualifications** **Qualifications:** Education: + GED or Highschool Diploma **License/Certifications:** + Current, unrestricted California LVN… more
- UCLA Health (Santa Monica, CA)
- …Major duties include processing of prescriptions, preparation of medications, prior authorization , financial assistance, refill authorizations, medication ... preparation and patient outreach within applicable policies, procedures and regulations Schedule: Varied hours, depending on department needs, including weekends and holidays Hourly Salary Range: $32.77 - 43.22 (Union represented, step based salary depending… more
- UCLA Health (Los Angeles, CA)
- …and verifying accurate patient demographic and insurance information + Coordinating prior authorization requirements and performing timely follow-up + Providing ... general information and guidance to patients and callers regarding the referral intake process + Processing managed care authorizations + Maintaining daily and weekly records of internal and incoming transplant referrals + Performing administrative tasks such… more