Grievance and Appeals Nurse Specialist (LVN or RN) Kinetic Personnel GroupGrievance and Appeals Nurse Specialist (LVN or RN)Orange, CA$43–$65 / hourTemporaryUtilize computer and appropriate software (e.g., Microsoft Office: Excel, Outlook, PowerPoint, Word) and job-specific applications/systems to produce correspondence, charts, spreadsheets and/or other information applicable to the position assignment. A permanent position does include excellent CalPERS pension, 401a (4% contribution) and excellent government benefits and Holiday/PTO schedule.
Billing Specialist Vaco LLCBilling Specialistcosta mesa, CA$4,200–$48 / hourDetermining 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.
Accounts Payable Specialist Vaco LLCAccounts Payable SpecialistIrvine, CA$30–$35 / hourDetermining 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.
Payroll Specialist Vaco LLCPayroll SpecialistTorrance, CA$50–$60 / hourDetermining 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.
Talent Sourcing Specialist Vaco LLCTalent Sourcing SpecialistIrvine, CA$30–$34 / hourDetermining 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.
NewTravel Medical Laboratory Technician (MLT) - $2,344 per week in Orange, CA OneStaff MedicalTravel Medical Laboratory Technician (MLT) - $2,344 per week in Orange, CAOrange, CA$2,344.28THE POSITION: Medical Laboratory Technologists provides information for patient diagnosis and treatment by performing laboratory tests in toxicology, chemistry, hematology, immunology, and microbiology laboratories; receiving, typing, testing, and recording blood bank inventories. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
Middle Market Underwriting Specialist Sentry InsuranceMiddle Market Underwriting SpecialistIrvine, CA$98,900–$148,300 / yearIn the state of California, at an Underwriting Specialist Senior level, based on qualifications and experience the range for annual compensation for this position is between $119,600 - $179,400. In this role, you will: Work closely with agency partners and internal sales partners to obtain information needed to properly underwrite, price, and program individual policies/accounts.
NewLegal Intake Specialist Law Offices of Sylvia V. GonzalezLegal Intake SpecialistLa Palma, CA$22–$25 / hourThis is a full-time job where you are expected to answer the phone and speak to potential and new clients, so you absolutely must be able to work in the office for 40 hours per week. Sylvia Gonzalez also understands that there needs to be a balance between work and life, so she strives to provide her employees with an environment that values a healthy balance.
NewMedical Records Specialist - El Segundo Thompson Law Injury LawyersMedical Records Specialist - El SegundoEl Segundo, CAFull timeThompson Law’s vision is to be the law firm of choice for every person injured or killed due to preventable tragedy while providing our clients world-class service and record-setting results. If you're ready to contribute your talents as part of one of the fastest-growing personal injury firms while enhancing your skills within a dynamic environment—apply today!
Police Communications and Records Specialist Glendale Community CollegePolice Communications and Records SpecialistGlendale, CA$4,791.89–$5,283.06Under general supervision, performs clerical, administrative and public safety dispatching duties for the District police department; receives and responds to routine and emergency calls/requests for police, fire, medical and related public safety services; dispatches District police officers to incidents and/or assists other responding agencies using radio, phone or other dispatching equipment; contacts, receives, maintains and processes police reports, parking citations and other records; and provides information to the public in compliance with departmental policy and legal requirements; and performs other related duties as assigned. Performs a variety of general office administrative support duties; establishes and maintains departmental logs, records and files, including confidential police records; enters, accesses, updates, maintains and retrieves data using manual and electronic record keeping systems; prepares documents and forms; audits documents for accuracy and completeness; may order police ID cards; receives and distributes office communications; provides general office coordination for the department.
Medical Records Clerk CenterWellMedical Records ClerkOrange, FloridaAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Medical Records Clerk L.A. Injury AttorneysMedical Records ClerkBurbank, CaliforniaInjury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients. At La Injury Attorneys, we have the necessary investigators, paralegals, and experienced attorneys to obtain the pertinent information to secure the highest possible settlements and/or verdicts for our clients.
Police Records Specialist (Full-Time) City of South Gate, CaliforniaPolice Records Specialist (Full-Time)South Gate, CA$53,580–$65,124 / yearAbility to: meet the public in situations requiring diplomacy and tact; interpret and explain technical written documents; work independently; perform clerical, record keeping work; understand and follow oral and written directions; understand, apply and detect errors in specific segments of a record keeping system; communicate effectively both orally and in writing; provide accurate information, calculations, and documents; maintain confidentiality of sensitive records and information; evaluate sensitive situations quickly and initiate appropriate action to diffuse situations and resolve problems; interact tactfully and sensitively with a variety officials, members of other agencies, the media and the public; establish and maintain cooperative working relationships; willingness to work rotating shifts and holidays and occasional overtime. On occasion, provides staff support at the Police Department front counter; meets and responds to public requests; releases impounded vehicles; copies and sells various reports; takes crime and incident reports.
Correctional Records Specialist City of Santa AnaCorrectional Records SpecialistSanta Ana, CA$51,612–$69,192 / yearAbility to: Word process at a corrected speed of no less than 25 words per minute from clear copy; communicate effectively with a wide variety of people; use sound judgment in carrying out duties; follow oral and written instructions; learn assigned clerical tasks; adhere to prescribed routines; perform simple arithmetic computations; write legibly and use correct grammar and spelling; maintain effective relationships with police personnel, coworkers, and the public. Prior to appointment, a thorough police background investigation will be conducted; which includes the following: • Records check (e.g., education, driving, work, credit, criminal history, etc.) • Reference check (e.g., family, friends, colleagues, supervisors, neighbors, etc.) • Response to questions on drug experimentation/usage • Polygraph assessment • Pre-employment medical examination (e.g., including drug screening) Candidates are advised to consider the degree of disclosure that will be required during the backgrounds process.
Admissions and Records Technician Long Beach City CollegeAdmissions and Records TechnicianLong Beach, CA$5,157.32–$6,341.70Incumbents perform a variety of specialized technical and administrative admissions and records functions, including processing admissions applications, registering students, maintaining student records, processing transcript requests and preparing written confirmations of student enrollment, GPA or degrees earned. In an environment that is caring, supportive, and inclusive, LBCC promotes equitable learning and educational achievement by delivering innovative, high-quality degree programs, certificate programs, holistic support services, and leading-edge workforce preparation for our diverse communities.
NewMedical Collections Specialist Marquee StaffingMedical Collections SpecialistNewport Beach, CAWe are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered. Duties: Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
Medical Referral Specialist Priority Family Care CenterMedical Referral SpecialistMonterey Park, California$22–$25The Medical Referral Specialist coordinates patient access to specialists by verifying insurance, obtaining pre-authorizations, scheduling appointment, tracking referrals in EHRs, and acting as a liaison between patients, providers, and insurers, ensuring continuity of care and adherence to insurance policies while maintaining accurate records and communicating progress. Key duties involve insurance verification, coordinating care, patient education, and administrative tasks like documentation and follow-up, requiring strong communication, organization, and knowledge of medical terminology and insurance processes.
Medical Assistant Specialist Chaparral Medical GroupMedical Assistant SpecialistPomona, CA$22–$25 / hourAs part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. Responsible for maintaining smooth patient flow by accurate assessment of patients' needs thorough attention to physician orders and properly scheduling and follow-up of tests and procedures performed on patient.
Medical Coding Specialist OneOncology IncMedical Coding SpecialistCARemoteOneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
NewMedical Front Office - Patient Service Specialist Select Physical TherapyMedical Front Office - Patient Service SpecialistIrvine, California$21–$23 / hourThe front desk is your station to be a patient advocate, communicate with individuals via email and phone, manage patient payments and utilize multiple computer programs. Looking for a friendly and outgoing person to perform front office duties and be the first point of contact for patients needing Physical Therapy services.
Sr. Claims Specialist, Medical Malpractice | Long Term Care | California Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Medical Malpractice | Long Term Care | CaliforniaCA$100,000–$120,000 / yearIdeal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost-effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Medical Front Office Patient Service Specialist Select Medical CorpMedical Front Office Patient Service SpecialistSanta Monica, CA$21–$23 / hourThe front desk is your station to be a patient advocate, communicate with individuals via email and phone, manage patient payments and utilize multiple computer programs. Regular communication with parties such as attorney offices, insurance companies and translation companies, market operational leaders and business development team.
Medical Examiner Donation Specialist-Night Shift OneLegacyMedical Examiner Donation Specialist-Night ShiftAzusa, CA$52,325–$74,233.25 / yearThe MEDS is also responsible for representing OneLegacy to develop those relationships that will maximize the potential for organ, eye and tissue donation as well as assisting in determining if the tissue is suitable for recovery and transplantation. Coordinates with Coroner personnel on the recovery time logistics for specimen collection, autopsy scheduling, request for Photos/X-rays, and other processing to identify potential referrals.
Medical Device Cybersecurity Risk Specialist Tata Consultancy Services LtdMedical Device Cybersecurity Risk SpecialistIrvine, CA$110,000–$125,000 / yearHands-on experience in conducting cybersecurity risk assessments, threat modeling, and evaluating risks across systems, vendors, projects, and business processes. Experience reviewing penetration testing findings, identifying practical mitigation options, and validating remediation approaches in partnership with vendors or technical teams.
Medical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union)Manhattan Beach, CaliforniaWhen 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. • Registered Orthopaedic Technologist (ROT) from American Society of Orthopedic Professional (ASOP) • Registered Orthopaedic Technologist (ROT) from National Board for Certification in the Orthopedic Specialties (NBCOS) • Orthopaedic Technologist Certification (OTC) from the National Board for Certification of Orthopaedic Technologists (NBCOT).
Medical Examiner Donation Specialist-Night Shift OneLegacy BrandMedical Examiner Donation Specialist-Night ShiftAzusa, CaliforniaThe MEDS is also responsible for representing OneLegacy to develop those relationships that will maximize the potential for organ, eye and tissue donation as well as assisting in determining if the tissue is suitable for recovery and transplantation. Coordinates with Coroner personnel on the recovery time logistics for specimen collection, autopsy scheduling, request for Photos/X-rays, and other processing to identify potential referrals.
Medical Account Specialist II - HEMATOLOGY - INLAND EMPIRE, CA Regeneron Pharmaceuticals IncMedical Account Specialist II - HEMATOLOGY - INLAND EMPIRE, CAPasadena, CA$158,950–$220,000 / yearFacilitate partnership with multiple collaboration partners; Regional Director, Territory-based Oncology Account Specialists, Reimbursement Specialists to proactively resolve customer needs, identify market dynamics and trends, and develop strategies which support brand and corporate objectives in assigned territory. Build our future together: The Hematology Oncology Account Specialist is responsible for engaging Oncology specialists and other key Oncology customers within a geographical universe and settings, including academic centers, large group practices, IDNs, and community accounts in support of the launch of our Multiple Myeloma product.
Senior Credentialing Specialist - Medical Staff Admin - FT Days University of California, IrvineSenior Credentialing Specialist - Medical Staff Admin - FT DaysIrvine, CaliforniaFull timeAs Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. *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.
Test Technician Trainer Senior Specialist Edison InternationalTest Technician Trainer Senior SpecialistAlhambra, CAAdministers and proctors classroom training tests and field assessments, determining pass/fail criteria and partnering with stakeholders to provide feedback to students in T&D training technical skills programs (such as lineman apprenticeship, substation operations, etc.). Facilitates training such as new hire, new to role, refresher, just-in time performance-based training, continuous education and/or performance support, to students within T&D (such as electrical construction, maintenance and operations) in a classroom or field training environment.
Certified Medical Assistant Integrated Resources, IncCertified Medical AssistantNorth Hollywood, CAAssist Client medical staff (or if Float MA, assigned on site Specialty Care Providers) to address the participants’ needs in the Client clinic as follows: Prepare the participants for their appointments, including but not limited to setting up exam rooms, checking participants in and out, obtaining accurate history of present illness, etc. Under the general supervision of medical staff, the Medical Assistant performs routine administrative and clinical duties (e.g., scheduling medical appointments, greeting participants, and filing medical records, taking and recording vital signs, preparing exam rooms, and maintaining equipment and supplies).
NewCompliance Specialist Advantage Healthcare ServicesCompliance SpecialistHuntington Beach, CAThis role serves as a key operational partner to Compliance, Pharmacy Operations, Revenue Cycle, and Credentialing teams to support licensing activities, billing compliance, audit readiness, reimbursement requirements, and ongoing regulatory compliance. The ideal candidate combines strong administrative discipline with knowledge of pharmacy operations, licensing regulations, healthcare reimbursement, medical billing, pharmacy claims processing, and regulatory documentation.
NewSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)Alhambra, CaliforniaRemoteThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
NewTest Technician Trainer Senior Specialist Southern California EdisonTest Technician Trainer Senior SpecialistAlhambra, CAAdministers and proctors classroom training tests and field assessments, determining pass/fail criteria and partnering with stakeholders to provide feedback to students in T&D training technical skills programs (such as lineman apprenticeship, substation operations, etc.). + Facilitates training such as new hire, new to role, refresher, just-in time performance-based training, continuous education and/or performance support, to students within T&D (such as electrical construction, maintenance and operations) in a classroom or field training environment.
Remote Physician Pro Fee Coding Specialist-Cardiology/Electrophysiology Community Health Systems IncRemote Physician Pro Fee Coding Specialist-Cardiology/ElectrophysiologyCARemoteEnsures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
Anatomical Preparation Specialist, DBP - Dean''s Office University of CaliforniaAnatomical Preparation Specialist, DBP - Dean''s OfficeLos Angeles, CA$86,400–$184,800 / yearAs a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Under the general supervision of the Director, the Anatomical Preparation Specialist supports the daily operations of the Donated Body Program (DBP) by providing anatomical preparation, technical, educational, and administrative expertise.
Clinical Coding Specialist SmarterDx IncClinical Coding SpecialistCARemote$75,000–$105,000 / yearThis role is fully remote within the US What You'll Do Review and analyze medical records to ensure coding accuracy in a timely fashion Identify opportunities for improvement in coding models Understand and apply coding guidelines to assign appropriate codes to diagnoses and procedures as supported by clinical documentation Participate in ongoing training and professional development to stay current on documentation and coding guidelines Contribute to process improvement efforts to enhance coding practices and support efficient and effective healthcare delivery What You Bring 5+ years of recent experience in performing inpatient coding and/or auditing Strong expertise in ICD-10 classification system Active RHIA, RHIT, and/or CCS credential(s) Experience reviewing complex medical records and applying coding conventions and guidelines accurately Familiarity with DRG and inpatient reimbursement methodologies Strong attention to detail and ability to identify subtle coding inaccuracies Experience with coding audits, QA, or validation workflows Strong written communication for documenting rationale and feedback Nice To Haves Experience working with AI coding tools or CAC (computer-assisted coding) systems Prior experience in auditing or coding quality assurance roles Familiarity with evaluation frameworks, labeling, or annotation workflows Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) credentials Compensation $75k - $105k salary + benefits, 100% US-based remote #LI-Remote #LI-DNP Benefits Medical, Dental & Vision - Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan. Clinical Coding Specialist (Inpatient) Role As an Inpatient Coding Specialist at SmarterDx, you will be responsible for conducting comprehensive chart reviews and coding validation of AI diagnostic models to support coding improvement.
Senior Metering Specialist Edison InternationalSenior Metering SpecialistWestminster, CAPerforms in-depth analysis of service order test results and incoming service order requests by leveraging metering work management systems (Field Automated Test System (FATS), Electrical Meter Services Tracking (EMST), and Click Mobile) to ensure accuracy, completeness, and compliance with business policies and electrical metering principles. Experience with proper installation of new customer metering installations and application of SCE Electrical Service Requirements (ESRs), including safety aspects of Meter Technician (MT) or Field Services Representative (FSR) work.
Risk Management Specialist - Full Time, Days (Culver City) Southern California HospitalsRisk Management Specialist - Full Time, Days (Culver City)Culver City, CAFull timeProactively assists hospital Risk Management Director in the development and delivery of education programs to all employees, including orientation of employees, which involve all components of clinical risk management, risk assessment, risk identification and risk avoidance, to address the risk management process and regulatory guidelines. Develops case timelines and assists with in depth analysis of reported incidents, grievances and claims to identify causation, mitigation and improvement opportunities.
Clinical Documentation Specialist City of HopeClinical Documentation SpecialistCACity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. As an essential member of the Coding and Data Quality team, the Clinical Documentation Specialist is responsible for improving the quality, accuracy, and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality.
NewSenior 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.
Medical Coordinator (LVN/RN) Florence Crittenton Services of Orange CountryMedical Coordinator (LVN/RN)Fullerton, CA$28.76–$41.08 / hourThe Medical Coordinator maintains complete and confidential medical records, coordinates care across providers, supports appointment scheduling and transportation, and serves as a liaison between youth, case management, clinicians, and community healthcare partners to ensure continuity of care. Position Summary: The Medical Coordinator (Nurse) is responsible for coordinating and delivering timely, trauma-informed health services for unaccompanied children (UC) in Crittenton’s Office of Refugee Resettlement (ORR) Shelter Program.
Administrative Specialist Wheeler Staffing PartnersAdministrative SpecialistNewport Beach, CAThis fully onsite position is responsible for supporting daily office operations through a variety of administrative, clerical, and coordination activities while delivering exceptional customer service to patients, visitors, and internal teams. The ideal candidate has prior administrative experience within a healthcare or home health environment, is highly organized, and thrives in a fast-paced office setting.
NewFinancial Clearance Specialist III IMCS Group IncFinancial Clearance Specialist IIIIrwindale, CAThis role requires a high level of independent judgement in order to successfully coordinate and obtain authorization requests for complex managed care patients in a timely and efficient manner. Description: Position Overview/Project Details: Under the general direction of a supervisor or manager, responsible for performing pre-registration functions and obtaining authorizations from various insurance carriers.
Medical Assistant Talent Software Services, Inc.Medical AssistantNorth Hollywood, CA$1,128–$1,164 / weekUnder the general supervision of medical staff, the Medical Assistant performs routine administrative and clinical duties such as scheduling medical appointments, greeting participants, filing medical records, taking and recording vital signs, preparing exam rooms, and maintaining equipment and supplies. Prepare participants for appointments, including setting up exam rooms, checking participants in and out, and obtaining accurate history of present illness.
Risk Adjustment Coding Specialist II - Orange County Astrana Health, Inc.Risk Adjustment Coding Specialist II - Orange CountyOrange, California$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.
Interventional Specialist (TMS & Spravato) Pacific Neuropsychiatric Specialists IncInterventional Specialist (TMS & Spravato)Orange, CAUnder the policy direction of the Interventional Treatment Manager, the Interventional Specialist is a dual-function role responsible for the integrity of health information and for providing essential clinical backup for interventional psychiatric treatments. Administer TMS treatments according to physician protocols; set up medical devices and monitor sessions for accuracy and patient comfort.
(RN) Appeals Medical Review Nurse - REMOTE Molina Healthcare Inc(RN) Appeals Medical Review Nurse - REMOTECARemoteREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Scheduling Coordinator and Medical Assistant TriHealth IncScheduling Coordinator and Medical AssistantCAJob Overview: Performs clerical duties, including interpreting scheduling requests, scheduling appointments and/or tests and maintaining medical records for participants, both internally and externally with many different providers and areas of specialty. This position also interviews patients, measures vital signs, such as pulse rate, temperature, blood pressure, weight, and height, and records information on patients'' charts, and prepares treatment rooms for examination of patients.
NewCertified Medical Assistant - CMA TEEMA GroupCertified Medical Assistant - CMAPasadena, CA$20–$27Working under the general supervision of providers and nursing staff, this role combines clinical and administrative responsibilities to ensure smooth daily operations and high-quality patient experiences. The Medical Assistant collaborates closely with primary care providers, nurses, specialty providers, and clinic staff while delivering compassionate support to a frail and elderly patient population.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistCA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.