NewGovernment Audit Recovery Specialist IconmaGovernment Audit Recovery SpecialistCosta Mesa, CA$27–$32 / hourResponsible 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.
NewGovernment Audit Recovery Specialist - 6 TalentBurst, Inc.Government Audit Recovery Specialist - 6Costa Mesa, CA$25–$25 / hourAs 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.
NewMiddle 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.
NewTravel Nurse RN - Medical-Surgical - $1,822 to $2,037 per week in Lynwood, CA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $1,822 to $2,037 per week in Lynwood, CALynwood, CA$1,822.40–$2,036.80Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Nurse RN - Medical-Surgical - $1,822 to $2,037 per week in Inglewood, CA TravelNurseSourceTravel Nurse RN - Medical-Surgical - $1,822 to $2,037 per week in Inglewood, CAInglewood, CA$1,822.40–$2,036.80Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewQuality Engineering Specialist B. Braun US Pharmaceutical Manufacturing LLCQuality Engineering SpecialistIrvine, CA$101,167–$126,459 / yearThe targeted range for this role takes into account a range of factors that are considered when making compensation and hiring decisions; included but not limited to: skill sets; experience and training; licensure and certifications; and other business and organizational needs. Provide Quality Engineering leadership to production for quality activities and maintain oversight of manufacturing activities for quality compliance, while assuring that products and process continue to operate in accordance with company policies and procedures.
Reimbursement Specialist, Appeals Lucid Diagnostics IncReimbursement Specialist, AppealsLake Forest, CAThis role combines payor terminology knowledge, ability to understand denials, basic payor policy comprehension, and cross-functional collaboration to handle appeals and ensure accurate reimbursement across all lines of business. Here's what you can expect when you join our team: Comprehensive Benefits: Enjoy top-tier medical, dental, and vision coverage, with 98% of employee healthcare premiums paid by the company, plus company-paid basic life insurance, and short- and long-term disability coverage.
NewReimbursement Specialist, Appeals Lucid DiagnosticsReimbursement Specialist, AppealsLake Forest, CaliforniaThis role combines payor terminology knowledge, ability to understand denials, basic payor policy comprehension, and cross-functional collaboration to handle appeals and ensure accurate reimbursement across all lines of business. Here’s what you can expect when you join our team:Comprehensive Benefits: Enjoy top-tier medical, dental, and vision coverage, with 98% of employee healthcare premiums paid by the company, plus company-paid basic life insurance, and short- and long-term disability coverage.
Reimbursement Specialist III 26-00048 Alura Workforce SolutionsReimbursement Specialist III 26-00048Beverly 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.
Reimbursement 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.
Reimbursement Specialist Mon - Fri - 8am - 4:30pm (Pacific Time) MDxHealth SAReimbursement Specialist Mon - Fri - 8am - 4:30pm (Pacific Time)Irvine, CA$17.31–$24 / hourResponsible for researching denials and rejections, settling payer issues, documenting account activity, posting adjustments, and demonstrating proficiency with the XIFIN billing system to ensure all functionalities are utilized for the most efficient processing and adjudication of claims. The Reimbursement Specialist is responsible for complete, timely, and accurate follow-up and collections on submitted claims to clients, commercial/government payers, and patients, to optimize overall reimbursement.
Medi-Cal Eligibility Resolution Specialist - LA & OC LibertanaMedi-Cal Eligibility Resolution Specialist - LA & OCDowney, CARemote$27–$30 / hourThe Medi-Cal Eligibility Resolution Specialist is responsible for identifying, resolving, and preventing Medi-Cal eligibility issues that impact member access to services or hinder reimbursement. This role ensures timely coordination of Medi-Cal redeterminations, collaborates with county eligibility offices, and supports members through complex eligibility processes.
Medical Support Specialist RN Biolife Plasma ServicesMedical Support Specialist RNPomona, CA$40.48–$55.66 / hourThe actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE).
Sr. Medical Billing & Collections Specialist Leaps & Bounds Pediatric TherapySr. Medical Billing & Collections SpecialistNorco, CAFull timeBilling & Collections Specialist is responsible for ensuring accurate and timely billing, proactive collections, and consistent follow-up on outstanding accounts to support the financial health of the organization. In accordance with Company policy, perform timely and aggressive follow-up on outstanding claims, meticulously resolve denials by correcting errors, gathering necessary documentation, and resubmitting claims efficiently.
Program Specialist, Medi-Cal & CalAIM CalOptimaProgram Specialist, Medi-Cal & CalAIMOrange, CA$55,966–$83,949 / yearWe are hoping you will join us as a Program Specialist, Medi-Cal & CalAIM and help shape the future of healthcare where you'll be an integral part of our Medi-Cal & CalAIM team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Bachelor's degree in health policy, health care economics, public policy, public health, sociology, psychology, social work or a related field PLUS 1 year of experience providing support in program development, implementation and operations or related experience in a managed health care organization required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
Medical Device Cybersecurity Risk Specialist Tata Consultancy Services LtdMedical Device Cybersecurity Risk SpecialistIrvine, CA$110,000–$120,000 / 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 Support Specialist RN TakedaMedical Support Specialist RNPomona, CaliforniaThe actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). .
Registered Nurse Bilingual Medical Support Specialist TakedaRegistered Nurse Bilingual Medical Support SpecialistVictorville, CaliforniaThe actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). .
Sr Medical Affairs Specialist DexCom IncSr Medical Affairs SpecialistCA$95,900–$159,900 / yearThis position interacts directly with all members of the Medical Affairs department and closely collaborates with the Regulatory, Marketing (consumer, HCP, international/global, and payer), Medical Writing, Scientific Communications, Clinical Affairs, Evidence Planning, and Legal teams on promotional copy review, new claim development, and ensuring the claims trace matrix is current, globally and regionally relevant. This position is responsible for the current review of CGM, biosensors, diabetes, and/or metabolic disease relevant literature and proactively bring key clinical evidence to the cross-functional claims development team to review and approve marketing claims and its accurate use in digital and collateral materials.
Medical Account Specialist II - NEUROLOGY -RIVERSIDE, CA Regeneron PharmaceuticalsMedical Account Specialist II - NEUROLOGY -RIVERSIDE, CARiverside, CaliforniaDevelops strong working relationships with customers, collaboration colleagues and Internal contacts - Clinics, physicians, nurses, additional important health care providers, key patient advocacy support groups, collaboration teammates, Reimbursement and Access Specialist team, Clinical Nurse Educators, Marketing, National Accounts, Training and Trade. This role involves developing and executing account strategies to grow market share, building relationships with clinicians, nurses, and patient advocacy groups, and collaborating with cross-functional partners (e.g., Reimbursement and Access, Regional Science Managers) to address customer needs and market dynamics.
Medical Management Specialist, LVN SHPCA SCAN Health PlanMedical Management Specialist, LVNLong Beach, CaliforniaFacilitate safe and effective discharges from inpatient settings by communicating member needs and issues identified during the course of inpatient treatment to other members of the care team, including but not limited to Facility CM, SCAN Care Management staff, medical group case managers, and Primary Care Physicians (PCPs). Build effective professional relationships with providers and other internal and external partners by using excellent verbal and written communication skills, developing trust, meeting timelines, respecting cultural differences, using active listening skills, and maintaining confidentiality.
Reimbursement Representative 26-00070 Alura Workforce SolutionsReimbursement Representative 26-00070Irvine, 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.
Reimbursement Representative Alura Workforce SolutionsReimbursement RepresentativeLaguna 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.
Sr Spec, Health Econ & Reimbursement Edwards Lifesciences CorpSr Spec, Health Econ & ReimbursementIrvine, CA$108,000–$153,000 / yearAs a Senior Specialist, Real-World Evidence, you will support the planning and execution of real-world evidence (RWE) generation projects using real-world data (RWD) to address patient unmet needs and market access questions. This role represents an opportunity to join the Global Health Economics & Reimbursement (GHER) team supporting patient access to innovative transcatheter mitral and tricuspid valve technologies (TMTT) at Edwards Lifesciences.
NewRegional Manager, Field Reimbursement - MedTech (Western US) CVRx IncRegional Manager, Field Reimbursement - MedTech (Western US)CARemoteReporting directly to the Senior Vice President of Reimbursement, this role serves as the regional reimbursement authority, partnering with healthcare providers and the commercial organization to navigate reimbursement complexity, improve patient access, and accelerate appropriate adoption of Barostim therapy. CVRx is pioneering the future of cardiovascular care through Barostim therapy, delivering an innovative treatment option for patients with heart failure while advancing our mission to improve lives through science, innovation, and patient access.
Account 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.
Account 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.
Medical Biller Shireen V Guide M D IncMedical BillerRancho Santa Margarita, CAThe ideal candidate has worked in Dermatology or similar specialty before; has excellent attention to detail, strong customer service skills, and is comfortable addressing billing collections issues by phone. Will do collections, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients and staff.
Medical Biller JOSEPH VARDAYO MD INCMedical BillerLONG BEACH, CAAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Medical Biller Alfred A Sidhom M D IncMedical BillerAnaheim, CAThe ideal candidate will have a strong understanding of medical billing procedures and insurance guidelines from claim submission to payment collection, Medical Biller/Collector must have experience in handling insurance denials and appeals. Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima.
Medical Biller - Healthcare Claims Guidehouse IncMedical Biller - Healthcare ClaimsEl Segundo, CA$38,000–$63,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers.
Medical Biller Astrana Health IncMedical BillerAlhambra, CAThis role will report to our Director - Revenue Cycle and enable us to continue to scale in the healthcare industry. Empower Entrepreneurial Provider and Care Teams.
Medical Staff Coordinator II Prime Healthcare Services IncMedical Staff Coordinator IIAnaheim, CA$28–$42.06 / hourThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare.
NewMedical Staff Coordinator I Prime Healthcare Services IncMedical Staff Coordinator IHuntington Beach, CA$25–$33.65 / hourFully accredited by The Joint Commission, and with nearly 200 physicians and more than 400 healthcare and other professionals on staff, our team is committed to providing outstanding service in a safe, comfortable, and caring environment. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Sleep Apnea Medical Biller Aava InternationalSleep Apnea Medical BillerIrvine, CAZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy.
Medical Biller and Coder Instructor Hacienda La Puente Unified School DistrictMedical Biller and Coder InstructorCA$2,019–$2,022Two of our schools have been designated as National Blue Ribbon School, 13 Gold Ribbon Schools, and three high schools that have been honored in the U.S. News and World Report among the best high schools in the nation. The application will be considered disqualified if it does not meet the criteria listed below and must have the following documentation attached to your online EdJoin application prior to the position closing date/time: • Completed Application • A copy of basic skills will be required upon hire (refer to www.ctc.ca.gov for requirements).
Medical Biller Registry AllyMedical BillerTorrance, CaliforniaOur client, a well-established Cardiology Clinic with locations in Torrance and Koreatown, is seeking a detail-oriented and results-driven Medical Biller who can also assist with front office responsibilities. Minimum 2 years of recent medical billing experience in an outpatient clinic, preferably in cardiology.
NewGovernment Audit Recovery Specialist Integrated Resources, IncGovernment Audit Recovery SpecialistCosta Mesa, CA$25–$28 / hourAs 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), Client 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. Position Summary: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.
NewGovernment Audit Recovery Specialist IMCS Group IncGovernment Audit Recovery SpecialistCosta Mesa, CAAs 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. 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), 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.
RN Clinical Documentation Integrity Specialist - Hybrid University Health Services IncRN Clinical Documentation Integrity Specialist - HybridCORONA, CASouthwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists, and Riverside Medical Clinics. More information is available on our Benefits Guest Website: UHS Guest Benefits Southwest Healthcare is owned and operated by subsidiaries of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation.
Medical Biller Family Health MattersMedical BillerAnaheim, CA$22–$25 / hourExperience with: o Medi -Cal PPS billing o T1015 encounter billing o Managed care wrap payments o Medicare FQHC billing o Safety -net population billing (preferred) Knowledge & Skills • Strong understanding of: o HRSA FQHC billing guidelines o PPS methodology o CPT, ICD -10, HCPCS coding o Revenue cycle management • Experience with EHR and practice management systems. • Ensure correct use of FQHC billing codes, including: o Revenue code 0521 o T1015 (FQHC encounter code) o Appropriate CPT/HCPCS codes • Verify encounters meet billable visit criteria under HRSA and Medi -Cal guidelines.
CLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days REMOTE University of California, IrvineCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days REMOTEIrvine, CaliforniaRemoteFull timeListed 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.
CLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days HYBRID University of California, IrvineCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days HYBRIDOrange, CaliforniaFull timeListed 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.
NewGovernment Audit Recovery Specialist ICONMA, LLCGovernment Audit Recovery SpecialistCosta Mesa, CA$27–$32 / hourResponsible 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.
Behavior Support Specialist - Full Time The Stepping Stones Group LLCBehavior Support Specialist - Full TimeHawthorne, CA$21–$26 / hour____ The CAS Experience What working as a Home & Community Behavior Technician looks like Schedule & Flexibility Full-time, weekday schedule Services delivered across home, school, and community settings Caseload built within a defined local region Consistent schedules once cases are assigned No weekends required Training, Support & Growth Paid onboarding and hands-on training Ongoing supervision from experienced BCBAs Paid RBT certification (training, exam, and supervision included) Tuition reimbursement and professional development opportunities Clear pathways for growth and advancement Regular coaching and feedback to build clinical skills Recognition & Team Culture Performance-based pay increases every 6 months Annual bonuses for eligible BTs and RBTs Team appreciation events and local celebrations A culture rooted in teamwork, respect, and encouragement ____ Role Overview As a Home & Community Behavior Technician, you'll deliver 1:1 ABA therapy to children in natural settings, including homes, schools, and community environments. Prospect Mundelein Naperville New Lenox North Aurora North Chicago Northbrook Oak Brook Oak Forest Oak Lawn Oak Park Oaklawn O'Fallon Orland Park Oswego Palatine Pana Plainfield Plano Posen Prospect Heights Richton Park Rockford Romeoville Roselle Round Lake Roxana Saint Anne Saint Charles Sangamon Schaumburg Schiller Park Shabbona Shorewood Skokie Smithton South Holland Southwestern area St.
Senior 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.
Clinical Nurse Specialist RN - Labor & Delivery Kaiser PermanenteClinical Nurse Specialist RN - Labor & DeliveryHarbor City, CA$69.24–$85.01 / hourFor-jobs-where-work-will-be-performed-in-unincorporated-LA-County,-the-employer-provides-the-following-statement-in-accordance-with-the-Los-Angeles-County-Fair-Chance-Ordinance.-Criminal-history-may-have-a-direct,-adverse,-and-negative-relationship-on-the-following-job-duties,-potentially-resulting-in-the-withdrawal-of-the-conditional-offer-of-employment: Consistently-supports-compliance-and-the-Principles-of-Responsibility-(Kaiser-Permanente's-Code-of-Conduct)-by-maintaining-the-privacy-and-confidentiality-of-information,-protecting-the-assets-of-the-organization,-acting-with-ethics-and-integrity,-reporting-non-compliance,-and-adhering-to-applicable-federal,-state,-and-local-laws-and-regulations,-accreditation,-and-licensure-requirements-(where-applicable),-and-Kaiser-Permanente's-policies-and-procedures. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment: Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.
NewGovernment Audit Recovery Specialist Pacer GroupGovernment Audit Recovery SpecialistCosta Mesa, CA$28–$32As 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.
NewGovernment Audit Recovery Specialist TalentBurst, Inc.Government Audit Recovery SpecialistCosta Mesa, CA$1,000–$1,000 / weekAs 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.
CDI Specialist - Health Information Rady Children's HospitalCDI Specialist - Health InformationCA$39.51–$54.33 / hourJOB SUMMARY: This position uses clinical knowledge and knowledge of coded data for documentation requirements to improve overall patient quality, capture severity, acuity and risk of mortality. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity.