24 jobs found

WHO WE ARE: AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in peoples lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. AHFs core values are: Patient-Centered Value Employees Respect for Diversity Nimble Fight for Whats Right STILL INTERESTED? Please continue! YOUR CONTRIBUTION TO OUR SUCCESS!: The Associate...

Job Description Job Description Salary Range: $24.00 to $28.00 Hourly Summary : Responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Arroyo Vista Family Health Center initiatives. DUTIES AND RESPONSIBILITIES: Develops an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly Performs on-going chart reviews and abstracts diagnosis codes, clarifying documentation with provider for coding accuracy as needed. Documents results/findings from chart reviews and provides feedback to management, providers, and office staff Provides training and education to network of providers on how to improve their HEDIS coding knowledge as well as provide coding updates related to HEDIS Builds...

Job Description Job Description POSITION TITLE JOB CLASS/FICA TION: MEDICAL BILLER , EXEMPT TITLE OF IMMEDIATE SUPERVISOR: DIVISION: DIRECTOR OF INFORMATION SYSTEMS & TECHNOLOGY REVENUE MANAGEMENT POSITION OBJECTIVE/SUMMARY: The Medical Biller is responsible for front-end claims data analysis which includes research, analysis, reconciliation of claims data, and reporting MINIMUM QUALIFICATIONS REQUIRED FOR THIS POSITION: • Bachelor's degree in health information systems or business preferred • Certification as a Certified Professional Biller for medical practices, preferably with Federally Qualify Health Center experience • 3-5 years of experience in medical billing • At least 2 years healthcare computer database, data research and reconciliation experience in a healthcare environment preferred • Proficiency with computers and medical billing software • Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS •...

Job Description Job Description Referrals and Medical Records Supervisor Job Location Hollywood Health Center - Los Angeles, CA Education Level Associate Degree Salary Range $53,301.00 - $79,930.00 Salary Travel Percentage Local Travel Site to Site Job Category Admin - Clerical Description SUMMARY: The Referrals Supervisor (RS) provides leadership and direction in the operations of QueensCare Health Centers (QHC). The RS is responsible for ensuring internal and external clients are provided with exceptional customer service. The RS is responsible for coordinating and managing staff activities, training and monitoring the productivity of Referral and Medical Records staff. The RS is responsible for reporting on patient referral management and tracking (including problems, issues, and concerns) of the health centers to ensure timeliness and completion of patient referrals across the organization. Acts as a patient advocate to assure patients are provided with the...

Proclinical is seeking a remote Associate Director, Medical Writing for a global healthcare organization. The Associate Director, Medical Writing is expected to deliver high quality regulatory documents in accordance with regulatory guidelines that meet ICH standards, project timelines, and specifications set forth for the projects and to act as a Medical Writing coordinator for the preparation of drug safety-related documents. The "hands-on" Medical Writer is responsible for preparing clinical summary documents, including (but not limited to) Integrated Summaries of Safety and Efficacy for NDAs, MAAs, and/or NDA Supplements/Type II variations in eCTD format. Must be eligible to work in the US. Job Responsibilities: Prepare/coordinate and deliver high quality clinical sections of submissions (IND/IMPD/NDA/MAA/sNDA) and responses to regulatory authorities in eCTD format as required. Interact with multi-disciplinary team members (regulatory, physicians, statisticians, clinicians,...

Job Description Job Description Position Purpose: Under the direct supervision of the Director of Quality Assurance, the Licensed Vocational Nurse (LVN) is responsible for supporting the compliance functions of the Quality Assurance and Performance Improvement department of JWCH. The responsibilities include but not limited to maintaining a defined review schedule for JWCH, Wesley Health Centers by doing preparatory work for the audit including developing a scope of work, reviewing documentation, preparing reports and doing any necessary follow-up reviews. Additionally, this position will ensure that appropriate data is collected, securely kept, maintained and serve as a resource to clients in answering compliance questions from Internal Audit and Audit Advisory Services. Essential Duties and Responsibilities : Conduct Compliance Reviews. Complete compliance reviews within established parameters and initiate and carry out all assigned reviews according to defined...

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What will you be doing in this role? This role is under the general direction of the Supervisor, Coding using knowledge of CSMC and Coding Clinic guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC. Assigns ICD-10-CM/PCS and for patients receiving services at CSMC. Correctly assigns ICD-10-CM codes for patients receiving services at CSMC. Works under general direction of the HID Coding...

Our mission is to participate in Jesus Christ's ministry, bringing health, healing, and wholeness to humanity by: Creating a supportive faculty practice framework that allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care with optimum efficiency, deploying a motivated and competent workforce trained in customer service and whole person care principles and providing safe, seamless and satisfying health care encounters for patients while upholding the highest standards of fiscal integrity and clinical ethics. Our core values are compassion, integrity, humility, excellence, justice, teamwork and wholeness. The Coder Auditor-Risk Adjustment is responsible for the reconciliation of Clinical Documentation Integrity (CDI) clarification against final coded outcomes to ensure accurate and timely encounter data submission as outlined within Risk Adjustment Health Plans (i.e. Medicare Advantage). Evaluates...

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 Service Center, and Provider...

Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, process all forms needed for insurance billing purposes, and collect necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare. Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance...

The responsibilities of the Compliance Auditor include performing detailed audits of tenant files, the property, and site-level operations to determine compliance with program/project requirements of the applicable affordable housing programs. These programs include but are not limited to, the Low-income Housing Tax Credit (LIHTC) program, HUD programs (VASH, Section 8, HUD 236, HUD 202 PRAC), Bond, HOME, CHFA, AHP, MHP, special needs housing programs, and other housing programs (including state/local programs). The role includes oversight of all regulatory obligations, conducting monitoring reviews, and identifying noncompliance and effective corrective action measures. The Auditor produces written reports of deficiencies and works with property management team members to resolve issues to eliminate or substantially minimize noncompliance identified during a third-party review. The Auditor assists in developing other staff members by providing effective training, technical...

We invite you to join our Compliance and Regulatory Affairs team as a Compliance Auditor Specialist.  This full-time career opportunity will have a Monday - Friday schedule, and is located at our office in Los Angeles, CA. ESSENTIAL DUTIES AND RESPONSIBILITIES: Under general supervision, coordinates the collection, evaluation, and dissemination of quarterly compliance performance data, relative to specified compliance program policies. Maintains confidential compliance documents and records specified data according to Compliance/ Regulatory / and State and Federal health care standards. Collect and analyze data entry on relevant compliance audit performance indicators. Perform and coordinate compliance medical record, coding, and claims review audits of varying complexity and scope as appropriate to regulation and policy protocol. Provide input on root cause for issues impacting compliance. Ensure sound audit theory and compliance within the department's methodology. Generate...

Updated: Oct 2, 2023 Location: Orange Job Type: Department: Bio Medical Engineering UC Title: CLIN ENGR SUPV 2 Position Number: 41032639 Reports to: Director of Biomed Engineering Cost Center: Bio Medical Engineering (428484) Bargaining Unit: No Bargaining Unit FLSA: Nonexempt Date Created: 9/28/2023 Job Code: 006575 Hours: 40 Shift: Not Applicable FTE: 1 Position Summary: Reporting to the Director, Biomedical Engineering, incumbent supervises the design, development and safety testing of biomedical, clinical laboratory, research and radiology equipment. Ensures that the equipment is in compliance with applicable regulatory requirements, implements quality control standards, and maintains budget and vendor relationships. Oversees systems and equipment maintenance, repairs, operation, and upgrades to provide the highest level of quality care. Total Compensation In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more...

Description In this role you will acts as the Team Leader for assigned area. Coordinate the activities of all staff supporting the area and interact with faculty and residents to maximize patient care, resident education and patient satisfaction. In addition perform the full range of administrative and support functions to include assisting in coordinating patient flow through the clinic, from registration to discharge. Work as a member of the clinic team to provide smooth outpatient flow resulting in optimum patient satisfaction and clinic operation. Salary Range: $21.70 - $42.96/hourly Qualifications Required 1. Ability to work effectively with patients, physicians and staff in a diplomatic and professional manner in order to maximize suite operations. 2. Skill in prioritizing assignments and managing multiple tasks. 3. Ability to work effectively as a member of a team in order to provide effective patient care. 4. Working knowledge of Epic...

Job Description Job Description Mission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: Review encounters for all payers’ sources and maintain no more than 1% errors. Initiate investigation and correction for all discrepancies found in the encounters. Maximize the revenue following the individual payer guide lines. Initiate and investigate cover and non-cover services from all payer types. Provide weekly updates to the billing supervisor of all discrepancies found on the encounters. Review all accounts for potential re- bills, adjustments and write offs. Maintain payment posting up to date to better track the unpaid charges. Principal Responsibilities: Review all encounters for discrepancies on a timely manner to avoid submitting encounters...

Job Description Job Description CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our Global Network and be a CHA Global Ambassador CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries. Our New Facility is seeking for Top Talents The best women’s hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and caring team right in...

Job Description Job Description Position Purpose: Under the direction of the Billing Department Supervisor, the Certified Medical Coder will be responsible for assigning diagnosis and procedural codes and modifiers for comprehensive medical services performed by JWCH physicians. The Certified Medical Coder must apply all appropriate coding guidelines and legal requirements to ensure compliance. The Coder will verify and perform audits on clinician-completed charge tickets by ensuring accuracy of code assignment and billing data. Duties and Responsibilities: Acts as the primary staff liaison between the providers and the Billing Dept.; and, effectively communicates to clarify diagnoses, procedures coding and documentation requirements. Recommends appropriate ICD-10-CM, CDT diagnosis codes, CPT codes and HCPC codes. Review diagnosis and procedure coding within Next-Gen, on a regular basis; and, ensure appropriate coding for optimal billing. Work closely with...

Job Description Job Description Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in billing/collections in a skilled nursing environment. This position will help to support 3 nursing facilities in a centralized billing environment. The Medicare Biller / Collector will be responsible for the coordination of collecting money from Medicare and the Medicare part A and part B coinsurance. They will support the function of Medicare and Medicare coinsurance collections to give it more focus and establish efficient methods of collecting. What You Will Do: Responsible to bill Medicare, Managed Care, Medical, Co-Insurance, and various share of costs. Setup new admissions medical records system to bill accurately Review billing documentation to ensure completeness, including accuracy of Medicare claims Manage submission of claims to Medicare and Medicare coinsurance to medical,...

Job Description Job Description Job Title: Medical Billing Specialist Job Type: Full-time, In-office Location: Encino, CA Job Description: We are seeking an experienced Medical Billing Specialist to join our team in our Encino office. The ideal candidate will have 2+ years of experience in Medical Billing. The candidate will be responsible for submitting claims to insurance companies and other third-party payers, as well as following up on claims and resolving any issues or denials in a timely manner. Responsibilities: Prepares, reviews, corrects, and edits professional HFCA 1500 or Facility UB04 claim forms for electronic claims submission in accordance with the billing department guidelines and insurance contract requirements Communicates errors and or missing information regarding patients' insurance, charges, coding etc Identify necessary corrections and resubmit all claims returned on electronic rejection reports daily Ensure that all...

Job Description Job Description Health Atlast West LA is a multi-specialty medical clinic offering internal medicine, physical medicine & rehabilitation, physical therapy, chiropractic, acupuncture and massage. We are looking to expand our clinic team by adding an additional Medical Biller to our team. We what people who want to be part of a team and have the same goals and purposes to help people. The ideal candidate: Has experience and is comfortable with medical billing from start to finish under light supervision. Setting up the patient accounts, verifying the information is accurate and ready to send to clearing house, uploading to clearing house, download claims back into Chirotouch and reconcile accounts. Has experience with insurance verifications. Is comfortable with meeting targets/goals, multitasking and producing quality work in a timely manner Has a typing speed of at least 40 wpm. Responsibilities: Authorizing/Verifying insurance benefits...

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...

Company Description Simplified IT is a global IT Staffing and Managed Services company. We have been rated top 10 staffing companies in the country for 3 years in a row. We serve technology, financial, auto, logistics & distribution companies across the United States, providing either IT staffing or technology solutions - or both. With decades of experience and a nationwide network of highly qualified, certified IT professionals, our goal is to build a lasting relationship with each client based on trust and consistent, reliable services. Job Description THIS IS A W2 POSITION AND ONLY US BASED CANDIDATES ONLY Responsibilities This position will provide high quality ICD-10, E/M, and procedure coding. Proficiency in profee inpatient E/M and bedside procedures for internal medicine and pulmonary. Qualifications This is a W2 position for a long-term project Current CPC, CCS, or equivalent through AAPC or AHIMA is required Must have at least 3 years of active E/M...

Job Title: Medical Billing Supervisor Job Location: Sun Valley, CA 91352 Duration: Permanent Start: 10/31/2022 Shift Timing: Monday-Friday 7:30am - 4:00pm (w/ some flexibility) Role: The Billing Center Supervisor is primarily responsible for ensuring that payer related probe and provider specific pre and post payment review requests are handled appropriately with the necessary level of urgency and attention to detail and in an efficient and effective manner. Additionally, this position is responsible for routinely completing medical review on customer chart documentation as assigned. Also, providing support and analysis on reimbursement integrity matters and working collaboratively to troubleshoot and problem solve with the management team on complex assignments. The Billing Center Supervisor position is a hybrid position requiring both time in the office and remote work. Tasks and responsibilities: Completes payer related probe and provider specific pre and...