Vaco LLCNewAccounts Payable Specialist Vaco LLCAccounts Payable SpecialistLake Forest, CA$23–$28Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
L3Harris TechnologiesNewSpecialist Software Engineer L3Harris TechnologiesSpecialist Software EngineerAnaheim, CA$97,000–$180,000 / yearBachelor of Science degree in Computer Engineering, Computer Science, Electrical Engineering, or equivalent from a four-year college or university; and minimum 6 years of experience in design and analysis of systems software for power conversion equipment. Under general direction of the Management of Software Engineering, this position develops and applies advanced software engineering methods in the investigation and solution of complex and advanced technical problems power system architectures and power conversion equipment.
JobotNewDocumentation Specialist-In Office JobotDocumentation Specialist-In OfficeAnaheim, CA$22–$25 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The Quality Support Coordinator Provides administrative and operational support for quality‑related processes, including performance tracking, reporting, and coordination of internal and external feedback.
L3Harris TechnologiesNewSenior Specialist, Software Engineering L3Harris TechnologiesSenior Specialist, Software EngineeringAnaheim, CA$122,500–$177,500 / yearBachelor of Science degree in Computer Engineering, Computer Science, Electrical Engineering, or equivalent from a four-year college or university; and minimum 6 years of experience in design and analysis of systems software for power conversion equipment. Under general direction of the Management of Software Engineering, this position develops and applies advanced software engineering methods in the investigation and solution of complex and advanced technical problems power system architectures and power conversion equipment.
Health Source MSOCase Manager RN Health Source MSOCase Manager RNAlhambra, CAFull timeMonitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed. Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge.
Astrana Health, Inc.NewRisk Adjustment Coding Specialist II - Remote Astrana Health, Inc.Risk Adjustment Coding Specialist II - RemoteMonterey Park, CaliforniaRemote$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines . Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
ProTrainIn-Classroom Instructor - Medical Billing and Coding (Part-Time) ProTrainIn-Classroom Instructor - Medical Billing and Coding (Part-Time)Rancho Santa Margarita, CAWe provide a CE-Turnkey Solution and partnership opportunities for institutions of higher learning to provide programs to various verticals such as Military Tuition Assistance (TA), Military Spouses (MyCAA), Wounded Warriors, Veterans, Unemployed (WIA), Corporate and Individuals. ProTrain is an affordable solution for students seeking to prepare for an in-demand career that will help move them and America forward to achieve the goal of Education 2 Employment!
University of California, IrvineManager of Coding - Health Information - F/T Days University of California, IrvineManager of Coding - Health Information - F/T DaysOrange, CaliforniaListed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHS County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHSRiverside, CA$101,536.34–$139,533.58 / yearExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI edits, and medical necessity rules.
County of RiversideHealthcare Coding Compliance Auditor - RUHS County of RiversideHealthcare Coding Compliance Auditor - RUHSRiverside, CAFull timeExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI edits, and medical necessity rules.
University of California, IrvineDirector of Coding - Health Information - F/T Days University of California, IrvineDirector of Coding - Health Information - F/T DaysOrange, California
University of California, IrvineMedical Staff Service Specialist - Medical Staff Administration - FT Days University of California, IrvineMedical Staff Service Specialist - Medical Staff Administration - FT DaysOrange, CaliforniaListed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Tellus SolutionsMedical Malpractice Claims Specialist Tellus SolutionsMedical Malpractice Claims SpecialistOrange, CARole involves handling technical and administrative responsibilities related to managing assigned claim files and taking on a larger caseload of highly complex claims. Responsibilities:Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement.
County of RiversideCertified Medical Records Coder-Inpatient (Riverside) County of RiversideCertified Medical Records Coder-Inpatient (Riverside)Riverside, CAFull timeAbility to: Utilize the ICD-CM classification system to code medical record entries either by use of coding books or encoder product; abstract pertinent information from medical records; follow oral and written instructions; operate PC with Windows software, coding software and abstract package; effectively communicate technical information to medical and administrative personnel; maintain effective working relationships with others. License/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association, or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders.
TebraBilling Support Specialist TebraBilling Support SpecialistCorona del Mar, CARemote$23.31–$25 / hourCollaborate effectively with payers (insurance companies), Clearinghouses, and internal teams (e.g., enrollments, product, engineering) to troubleshoot and resolve escalated issues. 1-year minimum experience in customer support, technical support, or billing support, preferably for a billing company, medical office billing team, contact center or healthcare Saas company.
Clinivoy LLCBilling and Credentialing Specialist Clinivoy LLCBilling and Credentialing SpecialistIrvine, CA$23–$28Assist patients with submitting financial assistance applications, including obtaining consent forms, uploading documentation, completing electronic applications, and following up with financial assistance programs to prevent therapy interruptions. Work closely with the Prior Authorization team by providing all required clinical and documentation updates, ensuring timely submission, tracking authorization progress, and maintaining consistent communication with the patient and provider.
TTF, LLCNewAccount Specialist-Payment Poster TTF, LLCAccount Specialist-Payment PosterNewport Beach, CATTF places candidates in the revenue cycle, health information management, and healthcare administrative fields with the following specialties and titles: Hospital Collector, Commercial, Government, Managed Care, Billing Representative, Medical Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Medical Data Entry, Follow-Up Rep, Medical Collections Representative, Medical Collector, Medical Reimbursement Specialist, Patient Account Rep, Patient Financial Representative, Reimbursement Representative, Reimbursement Specialist, Claims Processing, Credentialing Specialists, Medical Front office, Medical Assistants, Insurance Verification, Coder, Coding, HIMS Tech, and Claims Processor. TTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields.
TTF Search and StaffingNewAccount Specialist-Payment Poster TTF Search and StaffingAccount Specialist-Payment PosterNewport Beach, CATTF places candidates in the revenue cycle, health information management, and healthcare administrative fields with the following specialties and titles: Hospital Collector, Commercial, Government, Managed Care, Billing Representative, Medical Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Medical Data Entry, Follow-Up Rep, Medical Collections Representative, Medical Collector, Medical Reimbursement Specialist, Patient Account Rep, Patient Financial Representative, Reimbursement Representative, Reimbursement Specialist, Claims Processing, Credentialing Specialists, Medical Front office, Medical Assistants, Insurance Verification, Coder, Coding, HIMS Tech, and Claims Processor. TTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields.
CorroHealth IncClaim Review Specialist CorroHealth IncClaim Review SpecialistCARemoteJOB SUMMARY: Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Summary: Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product.
Integrated Resources, IncGovernment Audit Recovery Specialist Integrated Resources, IncGovernment Audit Recovery SpecialistCosta Mesa, CAContractorAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.
University of CaliforniaCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days University of CaliforniaCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT DaysIrvine, CAListed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
University of California, IrvineNewCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days REMOTE University of California, IrvineCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days REMOTEIrvine, CaliforniaRemoteListed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
University of California, IrvineCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days HYBRID University of California, IrvineCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days HYBRIDOrange, CaliforniaListed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Universal Health ServicesNewACCOUNTS RECEIVABLE SPECIALIST- Full Time Universal Health ServicesACCOUNTS RECEIVABLE SPECIALIST- Full TimeRiverside, CAOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Apidel TechnologiesGovernment Audit Recovery Specialist Apidel TechnologiesGovernment Audit Recovery SpecialistCosta Mesa, CAContractorAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
Alura Workforce SolutionsClinical Documentation Specialist 26-00068 Alura Workforce SolutionsClinical Documentation Specialist 26-00068Fountain Valley, CADESCRIPTION The Clinical Documentation Specialist (CDS) is responsible for performing concurrent reviews of inpatient medical records to ensure clinical documentation accurately reflects the patient's severity of illness, risk of mortality, intensity of services, and quality of care provided. The CDS collaborates closely with physicians, coders, CDI leadership, and ancillary departments to identify documentation clarification opportunities and ensure medical records support appropriate reimbursement and quality outcomes.
Alura Workforce SolutionsClinical Documentation Specialist 26-00040 Alura Workforce SolutionsClinical Documentation Specialist 26-00040Fountain Valley, CADESCRIPTION The Clinical Documentation Specialist (CDS) is responsible for performing concurrent reviews of inpatient medical records to ensure clinical documentation accurately reflects the patient's severity of illness, risk of mortality, intensity of services, and quality of care provided. The CDS collaborates closely with physicians, coders, CDI leadership, and ancillary departments to identify documentation clarification opportunities and ensure medical records support appropriate reimbursement and quality outcomes.
Ultimate Staffing ServicesNewPatient Care Billing & Authorization Specialist Ultimate Staffing ServicesPatient Care Billing & Authorization SpecialistFullerton, California$26–$26As the Patient Care Billing & Authorization Specialist, you will play a pivotal role in ensuring the seamless operation of our practice, supporting both the financial and administrative aspects of patient care. This role bridges the gap between patients, providers, insurance carriers, and third-party billing partners, helping to create an engaging and efficient office environment.
Emanate Health Medical CenterClinical Documentation Integrity Specialist - Per Diem (Remote) - Days - 8hr QVH Emanate Health Medical CenterClinical Documentation Integrity Specialist - Per Diem (Remote) - Days - 8hr QVHWest Covina, CARemoteMinimum License Requirement: ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer. The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team.
Adams & Martin GroupBilling Specialist for Large Regional Law Firm Adams & Martin GroupBilling Specialist for Large Regional Law FirmNewport Beach, California$75,000–$75,000This role supports the billing team with invoicing, cash posting, and client account management in a fast-paced professional environment. Experience with enterprise level billing systems such as Elite 3E, Elite Enterprise, or Aderant.
Your Behavioral HealthPatient Collections Specialist Your Behavioral HealthPatient Collections SpecialistTorrance, CA$21–$24At YBH, we pride ourselves on being a centralized hub teeming with resources designed to aid clients and their families in pinpointing the optimal support tailored to their distinct needs and aspirations for well-being. -Answering questions from patients, clerical staff and insurance companies, -Compiling and tracking outstanding balances owed to our providers.
Your Behavioral HealthInsurance Collections Specialist Your Behavioral HealthInsurance Collections SpecialistTorrance, CA$21–$24At YBH, we pride ourselves on being a centralized hub teeming with resources designed to aid clients and their families in pinpointing the optimal support tailored to their distinct needs and aspirations for well-being. Answering questions from patients, clerical staff and insurance companies, Compiling and tracking outstanding balances owed to our providers.
Alura Workforce SolutionsInsurance Authorizations Specialist 26-00026 Alura Workforce SolutionsInsurance Authorizations Specialist 26-00026Mission Viejo, CAThe specialist will serve as a key liaison between patients, providers, and insurance companies to ensure timely and accurate approvals that support uninterrupted patient care. Our client is a leading provider of advanced surgical care, offering comprehensive services in general surgery, colorectal surgery, and minimally invasive procedures.
Alura Workforce SolutionsInsurance Authorizations Specialist 25-00522 Alura Workforce SolutionsInsurance Authorizations Specialist 25-00522Mission Viejo, CAThe specialist will serve as a key liaison between patients, providers, and insurance companies to ensure timely and accurate approvals that support uninterrupted patient care. Our client is a leading provider of advanced surgical care, offering comprehensive services in general surgery, colorectal surgery, and minimally invasive procedures.
Alura Workforce SolutionsReimbursement Specialist III Alura Workforce SolutionsReimbursement Specialist IIILaguna Hills, CAIndependently perform claims follow-up and collections activities such as resolving claims denials and rejections through claim resubmissions, corrected claims and appeals in compliance with Billing Department's approved reimbursement strategies in a timely manner. Provides the highest level of customer service in answering patient phone calls and resolve patients' questions and/or billing issues, as well as communicate with doctors' offices and their staff.
Southern California EdisonNewCompliance Application Developer Senior Specialist Southern California EdisonCompliance Application Developer Senior SpecialistRosemead, CACollaborates closely with production support teams, platform teams and business partners to handle technical aspects of the application, including implementation, change management, maintenance, platform upgrades, and changes to requirements from both upstream and downstream interfacing applications. + Performs code reviews, unit tests and tracks the status of assigned projects to ensure timely completion and maintains communication with project manager and project team regarding progress of work.
Nephrology Associates Medical GroupRCM Specialist III Nephrology Associates Medical GroupRCM Specialist IIIRiverside, CAKey responsibilities and common requirements for this role, as seen on sites like, include: Complex Denial Management & Appeals: Reviewing and resolving complicated, denied, or slow-pay claims by analyzing EOBs (Explanation of Benefits) and crafting detailed written appeals. A Revenue Cycle Specialist III (RCS III) acts as a senior-level expert in medical billing and collections, managing complex denials, insurance appeals, and high-dollar accounts to optimize cash flow.
SMX, LLCFresh Food Specialist SMX, LLCFresh Food SpecialistGardena, CA$19.70–$19.70 / hourThis position plays a key role in maintaining product quality, ensuring accurate inventory tracking, and coordinating with warehouse, supply chain, and production teams. With Staff Management | SMX, you'll get a weekly paycheck, learn new skills, meet new people, and work with a great management team in a clean and safe environment.
Astrana Health, Inc.NewQuality Care Improvement Specialist Astrana Health, Inc.Quality Care Improvement SpecialistCA, California$24–$34 / hourReporting to the Manager of Quality Care Improvement, the Specialist will serve as a key liaison to lead and coordinate initiatives that drive performance in HEDIS, CMS Star Ratings (Part C & D), and overall health plan quality metrics. Serve as a quality performance resource to assigned health plan partners, provider groups, clinics, and MSOs, providing and presenting HEDIS performance scorecards monthly.
Macpower Digital Assets Edge Private LimitedSenior Claims Specialist Macpower Digital Assets Edge Private LimitedSenior Claims SpecialistOrange, CA$110,000–$130,000 / yearJob Summary: Seeking a Senior Claims Specialist to manage a complex caseload of medical malpractice claims, supervise junior claims specialists, and contribute to ongoing training efforts. Key Responsibilities:Manage medical malpractice claims, including assigning and directing defense counsel, following Claims Technical Manual, Defense Attorney Guidelines, and MPT Agreement.
Ultimate Staffing ServicesPart-Time AR Specialist Ultimate Staffing ServicesPart-Time AR SpecialistIrvine, California$30–$32 / hourThis position is ideal for an accounting professional who enjoys transactional accounting work, has strong QuickBooks Online experience, and is comfortable supporting day‑to‑day AR/AP activities in a collaborative environment. This role will work closely alongside the existing accounting staff to assist primarily with AR and AP coordination, helping to ensure accurate, timely processing and follow‑up.
Financial Statement Services, IncSenior Accounts Payable Specialist Financial Statement Services, IncSenior Accounts Payable SpecialistSanta Ana, CA$70,720–$83,200Opening its doors over 45 years ago, FSSI is a leading document outsourcing company servicing Fortune 500 companies in the financial, banking, insurance and billing industries across the U.S. We are currently looking for a Senior Accounts Payable Specialist to manage all outgoing payments, processing invoices, maintaining vendor relationships, and ensuring timely payments to vendors while maintaining positive vendor relationships. Industry Leadership: FSSI is a technology-driven leader in document services, focused on providing best-in-class services and dedicated to utilizing industry-leading software and equipment.
County of Riverside, CaliforniaBehavioral Health Specialist III - Multiple Locations County of Riverside, CaliforniaBehavioral Health Specialist III - Multiple LocationsRiverside, CA$47,278.13–$71,729.18 / yearKnowledge of: Basic principles and practices involved in improving behavioral health; Laws, rules and regulations governing a public substance abuse agency; Counseling techniques applicable to substance abuse treatment and prevention; Social, cultural, psychological, and economic factors relating to substance abuse; Public agency, community resources, community based support systems, and their functions; Use of the American Society of Addiction Medicine (ASAM) screening criteria for consumer placement into appropriate levels of care; Providing appropriate services for consumers with co-occurring SUD and MH disorders; Tenets of providing trauma-informed care; Medications used for Medication Assisted Treatment (MAT) services; Laws and ethics involved in the provision of substance use services. Candidates are required to be registered or certified at date of application as an Alcohol and Other Drug (AOD) Counselor and to have a valid Alcohol and Other Drug (AOD) certification or registration in accordance with the certification requirements as pursuant to Sections 11755, 11864, 11876 (a), and 11834.50 of the California Health and Safety Code and Sections 9846, 10125 and 10564 of the California Code of Regulations through either the California Consortium of Addictions Programs and Professionals (CCAPP) or the California Association of DUI Treatment Programs or Addiction Counselor Certification Board of California (ACCBC).
University of Southern CaliforniaSpecialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaSpecialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Alhambra, CA$25–$39.69 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Quality of Work Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
VectorUSACompliance Specialist III VectorUSACompliance Specialist IIITorrance, CAWhile performing the duties of this job, the employee is regularly required to sit for long periods of time; talk or hear; perform fine motor, hand and finger skills in the use of a keyboard, telephone, or writing. Is responsible for ensuring prevailing wage compliance with all public works projects; certified payroll compliance and reporting; apprenticeship program and STW compliance.
VectorUSANewCompliance Specialist II-III VectorUSACompliance Specialist II-IIITorrance, CAWhile performing the duties of this job, the employee is regularly required to sit for long periods of time; talk or hear; perform fine motor, hand and finger skills in the use of a keyboard, telephone, or writing. Is responsible for ensuring prevailing wage compliance with all public works projects; certified payroll compliance and reporting; apprenticeship program and STW compliance.
Alura Workforce SolutionsMedical Coder 26-00018 Alura Workforce SolutionsMedical Coder 26-00018Fountain Valley, CAUnder the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology.
Alura Workforce SolutionsMedical Coder - Oncology 26-000888 Alura Workforce SolutionsMedical Coder - Oncology 26-000888Fountain Valley, CARemoteUnder the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology.
Alura Workforce SolutionsMedical Coder 26-00059 Alura Workforce SolutionsMedical Coder 26-00059Fountain Valley, CAUnder the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology.
Alura Workforce SolutionsMedical Coder 26-00010 Alura Workforce SolutionsMedical Coder 26-00010Fountain Valley, CAUnder the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology.