60 jobs found in San Jose, CA

Job Description Job Description Prior Authorizations & Medical Claims Follow-up Specialist Job Title:  Prior Authorizations & Medical Claims Follow-up Specialist Location:  San Jose, CA- hybrid role is possible Job Type:  Full Time Reports To:  Billing Operations Manager Job Summary: We are seeking a detail-oriented and organized  Prior Authorizations & Medical Claims Follow-up Specialist  to manage the authorization process and ensure timely reimbursement of medical claims. This role involves obtaining prior authorizations, following up on insurance claims, and resolving denials or payment issues to optimize revenue cycle performance. Experience with DME billing is a plus! Company Overview: We are seeking a friendly, energetic professional who enjoys interacting with patients and thrives in a fast-paced, collaborative environment. If you're looking for a stable, long-term career with opportunities for growth and development, we encourage you to apply. We...

Job Description Job Description Salary: About Berman Skin Institute (BSI): Founded a quarter century ago by David Berman, M.D., a board-certified dermatologist, BSIs mission is to blend state-of-the-art medical technology and research with a dedication to patient welfare and healing to provide patients with the best possible dermatologic care. Berman Skin Institute is a group of dermatology clinics with eleven medical clinic locations across Northern California, including Los Altos, Cameron Park, Fremont, Placerville, Pleasanton, Roseville, Sacramento, San Francisco, Tracy, Walnut Creek and Yuba City. With a well-established and diverse patient population, BSI has a set of broad and comprehensive service offerings, including medical and surgical dermatology, including treatment for acne, moles, allergic skin reactions, autoimmune diseases, skin infections, Mohs skin cancer surgery, cosmetic dermatology (including laser treatment of unwanted hair, sun damage and wrinkled skin,...

Job Description Job Description Job Title: Senior Medical Billing Specialist Position Type: Full-Time, General Recruiting Location: Sunnyvale, California (FULLY ON-SITE) Salary Range / Rate: $70,000 - $85,000 base salary annually Job ID#: 139981   Job Summary: The Senior Billing Specialist will manage the complete medical billing and reimbursement process, focusing on Remote Patient Monitoring, Chronic Care Management, and Medical Nutrition Therapy services. This role involves ensuring compliance with healthcare billing regulations, optimizing revenue capture, and improving the overall billing experience. Key Responsibilities: Insurance & Billing Management: Verify patient benefits and insurance eligibility through insurance providers. Manage the complete billing process (charge entry, claim submission, payment posting, and accounts receivable). Follow Medicare, state programs, and HMO/PPO regulations. Handle claim resubmissions and appeals...

Job Description Job Description Job Title: Senior Billing Specialist Position Type: Permanent, Full Time Locations: Onsite 5 days at Sunnyvale, California Salary Range / Rate (Currency): $75,000 - $100,000 - depending on the total experience Job Description: Summary: This position performs complete medical billing and reimbursement functions and is responsible for all aspects of the medical revenue cycle for Remote Patient monitoring, Chronic care management and Medical Nutrition Therapy services. Years of Experience - More than 5 years of relevant experience in the following Experience in primary care or other more general medical departments End to End process of the billing report. (Validations/Approval/Emails to clients) End to end process of the invoicing workflow (Invoice Validation/Audit/AR report) Perform Revenue report analysis for any clinic Support AMs for Provider Meetings with Profit Experience with preparing and presenting the slides for client calls...

Overview Acacia Clinics:  Acacia delivers game-changing new treatments for mental health. We are a world-leader in treating the hardest cases of depression, anxiety, PTSD, OCD, and many other conditions. We employ a variety of cutting-edge solutions such as transcranial magnetic stimulation (TMS), Spravato (Esketamine), transcranial focused ultrasound (tFUS), and other even newer solutions. Acacia is looking for people who are passionate about caring for those who are suffering and have an innovative, task-oriented approach to help us change mental healthcare across the country.   Job Description:  We are seeking a detail-oriented Full-Time Medical Biller to join our healthcare team. The role will require 40 hours per week. The ideal candidate will have experience in healthcare billing, insurance verification, and payment processing, with the flexibility and initiative to adapt to evolving business needs. This position offers a hybrid schedule, allowing for both on-site...

IDR is seeking a Coding Auditor to join one of our top healthcare clients Remotely. If you are looking for an opportunity to join a large organization and work within an ever-growing team-oriented culture, please apply today! Position Overview for the Coding Auditor: Coding Education Program : Implement and manage the Coding Education Program by conducting focused audits, monitoring coder accuracy, and carrying out educational initiatives. Educational Delivery : Develop and deliver coding education for assigned groups, addressing questions related to coding and documentation requirements and improving the integrity and quality of patient data. Compliance Support : Serve as a coding resource for department managers, physicians, and administration, providing guidance on ethical coding standards and regulatory requirements. Quality Assurance : Supervise and ensure coding quality for assigned foundations, develop strategies to address non-compliant or high-risk...

Job Description Job Description Job Title: Certified Professional Coder Job Category: Administrative Reports To: Coding Manager Position Type: Full Time Position  Supervisory Responsibility: This position has no supervisory responsibilities Exempt/Non-Exempt: Non-Exempt Job Description Role and Responsibilities The Certified Coding Specialist is responsible for assigned work queue’s for physician services via medical records (encounter) for office visits, outpatient surgery, office procedures and hospital visits utilizing ICD-10-CM and CPT-4 codes. This requires thorough review of the medical record to validate assigned codes for optimal reimbursement. Research coding and regulatory guidelines that impact coding and billing for services to obtain relevant and timely information for internal utilization utilizing ICD-10-CM and HCPCS/CPT-4 codes. Ensures appropriate charge capture. Essential Functions: Reasonable accommodations may be made to...

Arrowhead Regional Medical Center Health Information Management has an immediate need of 2 temporary Certified Coder II. Job Description: Responsibilities: - Review and analyze medical records to assign appropriate codes using ICD-10, ICD-9, and other coding systems - Ensure accurate and timely coding of diagnoses, procedures, and services - Abstract relevant information from medical records for coding purposes - Collaborate with healthcare providers to clarify documentation and ensure accurate code assignment - Stay up-to-date with changes in coding guidelines and regulations - Maintain confidentiality of patient information and adhere to HIPAA regulations - Assist with medical billing and reimbursement processes as needed Skills: - Proficiency in medical terminology, anatomy, and physiology - Strong knowledge of medical coding systems, including ICD-10 and ICD-9 - Familiarity with DRG (Diagnosis Related Group) coding - Ability to interpret and analyze complex...

Job Description Job Description Ascendis Pharma is a dynamic, fast-growing global biopharmaceutical company with locations in Denmark, Europe, and the United States. Today, we're advancing programs in Endocrinology Rare Disease and Oncology. Here at Ascendis, we pride ourselves on exceptional science, visionary leadership, and skilled and passionate colleagues. Guided by our core values of Patients, Science, and Passion, we use our TransCon® drug development platform to fulfill our mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly resourceful professionals can truly make their mark. We offer a dynamic workplace for employees to grow and develop their skills. Associate Director, Medical Safety Science reports to Head of Global Medical Safety Science. Under the direction of Head of Global Medical Safety Science, is responsible for all assigned Ascendis Drug Safety...

We are looking for an Associate Director, Field Medical Operations to plays a critical role in driving the Field Medical Teams core functions and tactics. The position utilizes strong organizational skills, project management abilities and leadership excellence to ensure seamless communication and effective collaboration both within the US Field Medical Affairs Team and across multiple Ascendis departments. He/She will play a key role in driving strategic Medical Affairs initiatives, managing critical projects, and ensuring the overall efficiency and effectiveness of the US Field Medical Affairs team. Key Responsibilities Support US Field Medical Leadership, in the development and execution of Field Medical goals to achieve operational excellence. Partner with different functions within US Medical Affairs (field medical team, medical strategy, scientific communications, publications, congress planning, medical information) to enhance the teams effectiveness in decision...

Associate Director, Medical Safety Science - Job ID: 1459 Ascendis Pharma is a dynamic, fast-growing global biopharmaceutical company with locations in Denmark, Europe, and the United States. Today, we're advancing programs in Endocrinology Rare Disease and Oncology. Here at Ascendis, we pride ourselves on exceptional science, visionary leadership, and skilled and passionate colleagues. Guided by our core values of Patients, Science, and Passion, we use our TransCon drug development platform to fulfill our mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly resourceful professionals can truly make their mark. We offer a dynamic workplace for employees to grow and develop their skills. Key Responsibilities Assists Head of Global Medical Safety Science for drug safety and pharmacovigilance activities for ensuring corporate compliance with all applicable laws and...

Ascendis Pharma is a dynamic, fast-growing global biopharmaceutical company with locations in Denmark, Europe, and the United States. Today, we're advancing programs in Endocrinology Rare Disease and Oncology. Here at Ascendis, we pride ourselves on exceptional science, visionary leadership, and skilled and passionate colleagues. Guided by our core values of Patients, Science, and Passion, we use our TransCon® drug development platform to fulfill our mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly resourceful professionals can truly make their mark. We offer a dynamic workplace for employees to grow and develop their skills. Associate Director, Medical Safety Science reports to Head of Global Medical Safety Science. Under the direction of Head of Global Medical Safety Science, is responsible for all assigned Ascendis Drug Safety PV related activities for all...

Our mission is to detect cancer early, when it can be cured. We are working to change the trajectory of cancer mortality and bring stakeholders together to adopt innovative, safe, and effective technologies that can transform cancer care. We are a healthcare company, pioneering new technologies to advance early cancer detection. We have built a multi-disciplinary organization of scientists, engineers, and physicians and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome one of medicine’s greatest challenges. GRAIL is headquartered in Menlo Park, California, with locations in Washington, D.C., North Carolina, and the United Kingdom. It is supported by leading global investors and pharmaceutical, technology, and healthcare companies. For more information, please visit grail.com . GRAIL is seeking an Associate Director of Medical Communications to join the Medical Affairs...

The Associate Director, Medical Writing will collaborate with colleagues to write high-quality, strategically aligned medical-writing deliverables supporting the regulatory requirements of a clinical development program, ensuring completeness, accuracy, and compliance with US and ex-US regulatory requirements. Responsibilities: Author, co-author, critically edit, and format clinical/regulatory documents, including New Drug Applications (NDAs), protocols/protocol amendments, clinical study reports (CSRs), Investigator’s Brochures, administrative letters, and other regulatory submissions as needed. Interact with document authors, contributors, and reviewers (including members of Biometrics, Clinical Operations, Clinical Development, Project Management, CMC, Drug Safety, and Regulatory Affairs) to acquire necessary input into documents. Develop and manage medical writing timelines for assigned documents to ensure on-time deliverables that meet business needs. Facilitate...

Are you an experienced Medical Biller looking for a new opportunity to grow with a reputable healthcare organization? Looking to work for companies that value your skills and promote your growth? Apply today to connect with your forever employer! PrideStaff Financial is seeking experienced Medical Billers to work for our clients throughout the Bay Area. Submit your resume today for consideration. Call us today: 925-275-0499 Key Responsibilities: Review patient records to ensure accurate and complete billing information. Prepare and submit claims to insurance companies and government agencies. Follow up on unpaid claims, denials, and discrepancies to resolve billing issues. Communicate with insurance companies, patients, and healthcare providers to clarify billing concerns. Verify insurance coverage and patient eligibility for services. Post payments and adjustments to patient accounts, ensuring accuracy. Generate and send out patient statements and invoices....

Job Description Job Description Urgent Care Medical Supervisor - San Francisco Bay Area The Company Since 1982, American Family Care (AFC) has pioneered the concept of non-emergency room urgent care. Founded by Dr. Bruce Irwin, AFC now goes beyond broken bones, offering everything from flu shots to occupational medicine. Were dedicated to quality care and patient satisfaction so that people can live life uninterrupted. We offer extended weekday hours. Were also open on weekends. Theres no need to make an appointment; walk-ins are always welcome. The cost of a visit to AFC is only a fraction of the cost of an emergency room trip, making it the smart alternative in non-life-threatening situations. Inc. Magazine has ranked AFC as one of the fastest-growing companies in the U.S. Were proud to serve more than three million patients each year, and with over 300 clinics nationwide, we can offer accessible care close to home. With no appointments, short wait times, and...

Job Description Job Description Job Title: Medical Billing Specialist Rate: $25 - $26/hr Location: Livermore, CA (100% Onsite) Schedule: Monday–Friday, 7:00 AM–3:30 PM Contract Duration: 1 Year (with possible extension) Contract Type: W2 (must be authorized to work in the US; no sponsorships or C2C) Job Description We are seeking a Medical Billing Specialist to join our client's onsite team in Livermore, CA. In this role, you will be responsible for handling insurance follow-up and claim denials, ensuring that all reimbursements are accurately processed. As the liaison between insurance carriers, patients, and internal departments, you will strive to maintain high-quality standards in customer service and meet daily/monthly productivity goals. Key Responsibilities Insurance Follow-up & Denials: Initiate contact with insurance carriers regarding claim status, address denials, and document all collection activities accurately. Claims & Billing...

Associate Director, Medical Writing United States - California - Foster City United States – Remote United States - New Jersey - Parsippany Gilead Sciences, Inc. is a research-based bio-pharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and investigational drug candidate, we seek to improve the care of patients living with life-threatening diseases around the world. Gilead’s therapeutic areas of focus include HIV/AIDS, liver diseases, cancer and inflammation, and serious respiratory and cardiovascular conditions. Making an impact on a global scale Inclusion is one of the company’s five core values. That’s because we know that we are stronger and more innovative at Gilead when we are informed by a diverse set of backgrounds, experiences and points of view. Gilead Sciences is a biopharmaceutical company that discovers, develops and commercializes innovative therapeutics in areas of unmet...

Associate Director, Advanced Analytics - Medical Affairs Locations: United States - California - Foster City, United States - New Jersey - Parsippany Time Type: Full time Posted on: Vor 2 Tagen Job Requisition ID: R0043983 At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. Job...

Associate Director, Global Medical Affairs HIV Treatment United States - California - Foster City Job Description At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at...

Associate Director, U.S. Medical Affairs (USMA) Scientific Collaboration locations United States - California - Foster City time type Full time posted on Vor 8 Tagen job requisition id R0042666 For Current Gilead Employees and Contractors: Please log onto your Internal Career Site to apply for this job. At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking...

POSITION SUMMARY The Associate Director of Medical Communications is a critical team role with a high level of accountability. This role will focus on developing and executing Medical Team materials and initiatives, including the development, approval, and roll-out of Field Medical Materials; creation of content for and execution of Medical Advisory Boards; and creation of content for and execution of Scientific Symposia and other Medical Education initiatives. The Associate Director of Medical Communications will collaborate with external Medical Communications agencies and Medical Education partners to create timely, relevant, accurate, and engaging tools and programs that support Mirum scientific and medical objectives. They will also collaborate in the management of the database of Medical Field tools, including updating, archiving, and tracking of existing materials, and strategic planning and development of new tools based on needs and objectives of the Medical Team....

Job Description Job Description Compliance Auditor Housing Matters partners with individuals and families to create pathways out of homelessness into permanent housing. We are a leader in working to end homelessness – and we want you to be part of our team! We are looking for individuals eager to make a difference and willing to enthusiastically commit to join in our vision that homelessness in Santa Cruz County should be rare, brief, and non-recurring. As part of the Housing Matters Quality Improvement team and under the direction of the Staff Development Manager, the Compliance Auditor supports Housing Matters program compliance with contractual requirements. Responsibilities are to understand, communicate, and review program and department requirements with an emphasis on contracted agreements, CARF, OSHA, CalAim, Enhanced Care Management, HMIS documentation, and other reporting requirements. Hours and Benefits The Compliance Auditor is a full-time, hourly,...

Salary : $72,321.60 - $111,612.80 Annually Location : County of San Mateo, CA Job Type: Limited Term Job Number: POSTING ONLY (E306B) Department: San Mateo Medical Center Opening Date: 09/04/2024 Bargaining Unit: 01A Description San Mateo County Health is seeking three Medical Records Coders for the San Mateo Medical Center to provide coding of services. Services provided at San Mateo County Health which require coding include inpatient, outpatient facility, emergency room, long term care, psychiatric, ancillary services, and clinic visits. Current open positions for coding will be focused on professional fee (profee) coding. Majority of work for these positions will be coding of clinic visits with possible profee coding of other chart types. Understanding of code combinations and coding guidelines is crucial for candidates to be successful in this position. Some initial training will be onsite in the Health Information Management Department after which...