- Robert Half Accountemps (Los Angeles, CA)
- Description A National Healthcare Company is seeking a skilled Remote Hospital Medical Collections Specialist to join its dynamic healthcare organization. In ... part in supporting the hospital's revenue cycle management by handling medical collections and efficiently resolving account discrepancies. If you have experience… more
- Centene Corporation (Sacramento, CA)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- J&J Family of Companies (Santa Clara, CA)
- …of Intravascular Lithotripsy (IVL) to treat complex calcified cardiovascular disease. Our Shockwave Medical portfolio aims to establish a new standard of care for ... medical device treatment of atherosclerotic cardiovascular disease through its...of calcified plaque. **T** **h** **e position is fully remote , and you must be located in the territory.… more
- CenterWell (Sacramento, CA)
- …for interpretation/deviation and/or independent discretion. **Please note: this position is REMOTE .** **Required Qualifications** + Medical referral experience + ... clinical setting, preferably within the Medicare population + Proficient with medical terminology + Proficient with Microsoft Office applications including Microsoft… more
- Cognizant (Sacramento, CA)
- **Cardiovascular Medical Coder** We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open ... healthy work-life balance though our various wellbeing programs. **Location:** Remote (Work-from-Home) **Schedule:** Monday to Friday **Travel:** None required… more
- UNUM (Sacramento, CA)
- …Medicine and Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US ... product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to… more
- Highmark Health (Sacramento, CA)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
- Robert Half Accountemps (Laguna Hills, CA)
- Description A Healthcare Laboratory company is in the need of a remote Medical Billing Collections Specialist. The Medical Billing Collections Specialist ... will be responsible for performing collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA,… more
- Providence (CA)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... with patients, claimants, caregivers, providers, leadership + Review and analyze medical records, interview witnesses, assist with the discovery process and… more
- CVS Health (Sacramento, CA)
- …And we do it all with heart, each and every day. This position will be remote working from home anywhere in the US. **Schedule is Monday - Friday 8am-5pm est.** No ... in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline and plan language… more