137 jobs found

This is a remote position. Start Date: November 18 2024 Duration: Contract through the end of the year with potential for extension based on performance and business needs. Job Description Are you an experienced HCC Risk Adjustment Coder looking for a rewarding remote position within a leading healthcare organization Hyre Harper Co. is seeking 40 dedicated HCC Risk Adjustment Coders to join a prestigious healthcare system. This role offers the chance to contribute to valuebased care and enhance patient outcomes all from the convenience of your home. As an HCC Risk Adjustment Medical Coder you will conduct risk adjustment coding for various projects including retrospective reviews concurrent coding and attestations. Youll leverage your knowledge and expertise to accurately code diagnoses under CMS HCC guidelines and assist in identifying key data that supports clinical quality and financial integrity. Responsibilities: Review medical records to...

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: The Medical Biller is responsible for reviewing patient encounters, ensuring billing accuracy, and processing claims for various payer sources. This position plays a critical role in maximizing revenue by adhering to payer guidelines, investigating discrepancies, and ensuring timely payment processing. The Medical Biller will also work closely with the Billing Supervisor to provide updates on billing discrepancies, manage rebills, adjustments, write-offs, and ensure payment posting is up to date. Principal Responsibilities: Review all patient encounters for discrepancies in a timely manner to prevent submission errors to insurance providers. Monitor and update patient information in the...

Medical Biller Specialist Facility Paradise Valley Hospital Location US-CA-National City ID 2024-172298 Category Admin Position Type Full Time Shift Days Job Type Non-Exempt Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Paradise Valley Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Paradise Valley Hospital is the South Bay's oldest hospital, the second oldest hospital in all of San Diego County, and the largest employer in National City. For more than 100 years, Paradise Valley Hospital has served San Diego faithfully, proud of our heritage and providing numerous programs and services to meet the changing needs of our community. Our 291-bed, acute care hospital features the San Diego Spine & Joint Center, a highly credentialed acute rehabilitation...

Description Under the general direction of the Director assigned by The Chief Nursing Officer, coordinates available resources to efficiently and effectively provide professional patient care and services to a quality consistent with nursing and SJHS-HC standards and at a cost compatible with the fiscal and other resources of SJHS-HC. Assumes shift responsibility for the management and direction of patient flow. Delegates authority as appropriate. Must have a professional commitment to growth, be creative and innovative, and demonstrate competency in interpersonal communication, leadership ability, and problem solving skills. Providence caregivers are not simply valued – they’re invaluable. Join our team at St. Joseph Hospital Eureka and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications:...

Job Description Job Description Job Title: Medical Biller - Collections Company: Royalty Medical Solutions Job Type: Full-Time Position Summary: Royalty Medical Solutions is seeking a dedicated and experienced Medical Biller specializing in Collections to join our team. In this role, you will be tasked with the timely and accurate collection of outstanding medical bills. Your expertise in medical billing processes and collections will be integral to maintaining the financial health of our organization. Key Responsibilities: Review and maintain accounts for outstanding balances, ensuring records are accurate and up to date Contact patients and insurance companies to follow up on unpaid claims Process and resolve billing discrepancies and denials Negotiate payment plans with patients for overdue accounts Prepare and submit appeals for any denied claims in a timely manner Document all communications regarding collections and billing activities Generate...

Job Description Job Description Job Title: Temporary Associate Director, Medical Information Job Location: Carlsbad, CA, USA Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Mid-Senior level Headquartered in Carlsbad, California, and with offices in Boston, Massachusetts, and Dublin, Ireland, Ionis has been at work for more than three decades discovering medical breakthroughs that have redefined life for people with serious diseases. We are pioneers in RNA-targeted medicines, and our platform continues to revolutionize drug discovery and transform lives for patients with unmet needs. With five currently marketed medicines for serious diseases and an expansive late-stage pipeline, we continue to build upon our groundbreaking innovations in science and technology to provide greater value to patients; and we are well positioned financially to deliver on our strategic goals. At Ionis, we pride ourselves on cultivating a challenging,...

Job Description Job Description Trained Medical Biller/Coder/Collector. Minimum 2 years experience. Experience in Medicare, PPO, Work Comp and HMO insurances. Good communication and customer service skills. Amed bills for multiple specialties and Clinics. ICD10 and CPT proficient. Certified coder is a plus. This is not a remote job. Serious applicants only. Management experience is a plus  

DescriptionUnder the general direction of the Director assigned by The Chief Nursing Officer, coordinates available resources to efficiently and effectively provide professional patient care and services to a quality consistent with nursing and SJHS-HC standards and at a cost compatible with the fiscal and other resources of SJHS-HC. Assumes shift responsibility for the management and direction of patient flow. Delegates authority as appropriate. Must have a professional commitment to growth, be creative and innovative, and demonstrate competency in interpersonal communication, leadership ability, and problem solving skills.Providence caregivers are not simply valued “ they're invaluable. Join our team at St. Joseph Hospital Eureka and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower...

Job Description Job Description Job description Principal Duties · Reviewing patient bills for accuracy, completeness, and obtaining any missing information. · Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. · Following up on unpaid claims within standard billing cycle timeframe. · Checking each insurance payment for accuracy and compliance with contract discount. · Calling insurance companies regarding any discrepancy in payments. Identifying and billing secondary or tertiary insurances. · Reviewing accounts for insurance of patient follow-up. · Researching and appealing denied claims. · Answering all patient or insurance telephone inquiries pertaining to assigned accounts. · Setting up patient payment plans and work collection accounts. · Updating billing software with rate changes. Updating cash spreadsheets and running collection reports. OTHER Principal Duties · Other duties that may arise from...

Job Description Job Description Description: Pulmonary Medicine Associates (PMA) has been treating patients in the greater Sacramento area for over 50 years and is a unique and exciting place to work. With specialties that include critical care, infectious disease, palliative care, pulmonology, pediatric pulmonology, sleep medicine and travel medicine, we are a busy practice with over 70 providers and 3 outpatient clinic locations in the greater Sacramento area. PMA currently has an Office Supervisor position available to work at our Napa clinic. Please visit our website at www.pmamed.com to learn more. Duties Include: · Oversees outpatient clinic as assigned and helps with staff development. · Evaluates operations staff performance and recommends merit increases, promotions, and disciplinary actions with the guidance of the Clinical Operations Manager. · Assess team member needs for scope of role, development needs, succession planning and clinic outcomes: create and...

Associate Director, U.S. Medical Affairs (USMA) Scientific Collaboration United States - California - Foster City Medical Affairs Regular 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...

Job Description Job Description We are looking to hire 2-3 A/R team members who have a minimum of 1-2 years of Medical Billing experience. The ideal candidates will possess current knowledge of Medi-Cal, Medicare, and insurance billing/collections practices, have the ability to work independently as well as in a team, and must have good work ethic and be dependable. Must be computer literate and able to use or learn a variety of software and internet sites. This is an in office position. Basic knowledge of medical billing terminology and medical coding highly preferred. Job Duties: Follow up on outstanding balances for both insurance and patient Working from a report or EOB's, research unpaid insurance claims online or by calling insurance Appeal incorrect denials or resubmit corrected claims to insurances Review patient balances to ensure accuracy of balance Apply patient credits as needed and send out statements After a predetermined time frame, send patients to...

Pulmonary Medicine Associates (PMA) has been treating patients in the greater Sacramento area for over 50 years and is a unique and exciting place to work. With specialties that include critical care, infectious disease, palliative care, pulmonology, pediatric pulmonology, sleep medicine and travel medicine, we are a busy practice with over 70 providers and 3 outpatient clinic locations in the greater Sacramento area. PMA currently has an Office Supervisor position available to work at our Napa clinic. Please visit our website at www.pmamed.com to learn more. Duties Include: • Oversees outpatient clinic as assigned and helps with staff development. • Evaluates operations staff performance and recommends merit increases, promotions, and disciplinary actions with the guidance of the Clinical Operations Manager. • Assess team member needs for scope of role, development needs, succession planning and clinic outcomes: create and promote development plans accordingly. • Lead regular...

Job Description Job Description Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices.  We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate onsite opportunity to join our growing company. We are currently seeking 4 full-time (M-F 8:00 am-5:00 pm) Medical Billing Specialists for our Tracy office.    Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance...

Job Description Job Description PrideStaff Financial has an immediate onsite opportunity to join our growing company. We are currently seeking a full time Medical Billing Specialist for a well known client in the Central Valley. Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance claims or bill patients accordingly. • Contact Work Comp carriers to obtain information for authorizations and process accordingly. • Preform other duties as needed. Job Requirements: • High School Diploma or Equivalent • Typing minimum of 45 words per minute • 1-2 Years of Medical Billing Experience Preferred Compensation / Pay Rate (Up to): $16.00 - $23.00 Per Hour Company Description PrideStaff is a national staffing company that has been helping...

Job Description Job Description Seeking an experienced Medical Biller. Must have a minimum of 3 years of experience with ICD-10, CPT and HCPCS coding systems, as well as E&M Guidelines. Knowledge of health insurance benefits, billing processes, and third party reimbursements mandatory, including Medicare, workers compensation, PPO, and personal injury payors. Must be familiar with eligibility, benefits, and authorization processes for each type of payor. Experience with Athena preferred. Position will be responsible for posting insurance and patient payments, auditing insurance payments to ensure payments received are per insurance contracts, and otherwise billing per guidelines to ensure maximum payment for medical services rendered. The applicant must also be reliable, self-motivated, and be ready to work in a fast-paced environment, while maintaining great attention to detail and a high level of accuracy. The ideal candidate must have excellent written and verbal...

Job Description Job Description About Us The Translational Pulmonary & Immunology Research Center (TPIRC) is at the forefront of medical innovation, committed to transforming the treatment of rare and orphan diseases. Our center integrates cutting-edge diagnostic tools, artificial intelligence, and patient-centered research to push the boundaries of care and outcomes. As a non-profit research and clinical care center, TPIRC specializes in developing innovative, personalized treatment protocols for rare and orphan diseases. Our commitment to precision medicine allows us to create tailored treatment plans by meticulously analyzing each patient’s unique lab results, medical history, and symptoms. This personalized approach ensures that our highly skilled clinicians can devise the most effective strategies for each individual. Our advanced methodology not only addresses complex medical challenges but also generates critical data. By examining millions of data points, we...

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 Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an...

Job Description Job Description We are looking for an experienced Medical Biller to join our team. We are a local owned and operated. Please send your resume or call or text.