9 jobs found in Irvine

Job Description Job Description Role: Associate Director, Medical Affairs Learning & Development Target Date of Hire: February 2024 The Opportunity: We are seeking highly skilled and experienced Associate Director, Medical Affairs Learning & Development to join our dynamic team. Associate Director of Learning & Development will be responsible for developing, implementing, and managing new hire onboarding and ongoing training for Medical Affairs. This position plays a key role in the design, development and implementation of training programs that directly support the strategic and operational objectives of Medical Affairs, with particular focus on the field medical organization. In addition, the role will collaborate cross-functionally with Commercial (Sales, Marketing, Market Access), Clinical Development, Regulatory, Patient Advocacy, and other learning and development functions toward achieving Reneo's strategic scientific and medical objectives....

Job Description Job Description Overview Avanath is proud to be named one of the top property management companies to provide affordable housing for the work force. Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, every day is an opportunity to make a difference in someone's life. Whether it is helping residents call one of our communities' home, providing excellence in customer service, or championing our workforce, we are committed to creating an unforgettable experience as a great place to live, work and be. The Role We are looking for a meticulous and detail-oriented Compliance Auditor to join our Compliance Team. The Compliance Auditor, specializing in hard file review, will play a crucial role in ensuring our files are compliant with all relevant laws, affordable program regulations, and internal policies. This role involves the careful examination of resident files, documentation, and records, identifying non-compliance...

Job Description Job Description Essential Duties and Responsibilities The essential functions include, but are not limited to the following: Preparing and submitting clean claims to various insurance companies either electronically or by paper Answering questions from patients, clerical staff, and insurance companies Identifying and resolving patient billing complaints Preparing, reviewing, and sending patient statements Evaluating patient’s financial status and establishing budget payment plans; following and reporting status of delinquent accounts Reviewing accounts for possible assignment and making recommendations to the Billing Supervisor; preparing information for the collection agency. Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third party payers Processing payments from insurance companies and preparing a daily deposit Maintaining strictest confidentiality; adhering to all HIPAA guidelines...

Role: Associate Director, Medical Affairs Learning & Development Target Date of Hire: February 2024 The Opportunity: We are seeking highly skilled and experienced Associate Director, Medical Affairs Learning & Development to join our dynamic team. Associate Director of Learning & Development will be responsible for developing, implementing, and managing new hire onboarding and ongoing training for Medical Affairs. This position plays a key role in the design, development and implementation of training programs that directly support the strategic and operational objectives of Medical Affairs, with particular focus on the field medical organization. In addition, the role will collaborate cross-functionally with Commercial (Sales, Marketing, Market Access), Clinical Development, Regulatory, Patient Advocacy, and other learning and development functions toward achieving Reneo's strategic scientific and medical objectives. Primary Duties &...

Job Description Job Description Description: The Medical Billing Specialist I codes patient records, ensures accuracy and compliance for healthcare professional Workers' Comp claims. Maintain databases and audit patient charts and billing information for accurate processing of claims. Analyze, identify, and resolve billing issues that cause payment delays. Research and resolve patient, provider, and insurance company inquiries in a timely manner. Essential Duties and Responsibilities • Review documentation and identify billable procedures: abstract and code, utilizing ICD-10, CPT, Modifiers and HCPCS code classifications with accordance to California Official Medical Fee Schedule. • Communicate with Physicians and/or Clinic Managers to ensure documentation substantiates services performed. • Thoroughly review Physician's documentation and perform audits to determine accuracy and identify gaps. • Collaborate with other departments to obtain and analyze additional...

Job Description Job Description Description: The Medical Billing Specialist II codes patient records, ensures accuracy and compliance for healthcare professional Workers' Comp claims. Maintain databases and audit patient charts and billing information for accurate processing of claims. Analyze, identify, and resolve billing issues that cause payment delays. Research and resolve patient, provider, and insurance company inquiries in a timely manner. Essential Duties and Responsibilities • Reviewing charts and identifying procedures: abstracting and coding patients' charts, utilizing ICDlO, CPT and HCPCS codes classifications with accordance to California Official Medical Fee Schedule. • Maintains communication with supervisor regarding significant issues or patterns observed regarding denials from insurance companies. • Communicate with Physicians to ensure documentation is substantiating services perform and it is accompanying with proper dictation. • Comply with...

Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management,...

Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global...

Updated: Nov 3, 2023 Location: Irvine-Campus Job Type: Department: Physicians Billing Group Job Opening ID: 60213 Reports To: Billing Manager Working Title: Medical Billing Supervisor Department: Physicians Billing Group Bargaining Unit: 99 FLSA: Exempt Payroll Job Code: 004670 Job Location: Douglas Building- Anaheim Percent of Time: 100% Work Schedule: 8-5, M-F Employee Class: Career Position Summary: Under the direction of the Billing Manager, the employee is responsible for supervising the daily functions and operations of the designated billing Units. Keeps track of billing/collections flow adversities and takes appropriate action to address such issues and provides trends to management. Oversees overall workflow of billing unit(s); assures that tasks are accurately performed in a timely manner aimed at meeting targeted deadlines and goals. Trouble shoots problems and issues of daily correspondence;...