Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.…
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment …
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.…
The Government Collector/Appeals Specialist will manage patient accounts from the point of discharge through billing edits to contract management account net down to final collecti…
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.…
Summary SUMMARY: Coordinates and executes the appeal process for all AHS facilities clinical appeals and third party audits. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The followi…
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.…
CLINICAL DRG APPEALS CODER Full Time and Part Time Available | Remote| Permanent The Clinical Appeals DRG Coder reviews and analyzes denied/downgraded MS-DRG and APR-DRG account…
Medicare Collector Join the transformative team at , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening ill…
Job Summary Key Responsibilities: Evaluate various types of incoming payer and patient imaged correspondence documents in EPHESOFT. Review Ephesoft categorization during the "…
Provider Dispute Resolution Specialist Position Summary: The Provider Dispute Resolution Specialist ("Specialist") is responsible for processing provider appeals and disputes a…
Work Boldly. Live Brilliantly. At AltaMed, we don’t just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because…
Job Description: Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating…
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.…
The Provider Dispute Resolution Specialist (“Specialist”) is responsible for processing provider appeals and disputes accurately and timely. The Specialist assesses and completes a…
The Claims Auditor is responsible for reviewing claims processed by examiners based on provider and health plan contractual agreements and claims processing guidelines. Follows all…
The Billing Claims Specialist, Accounts Receivable plays a critical role in integrating billing and revenue best practices in response to payor adjudication for the contracted, non…
Overview of the Role: The Claims Auditor is responsible for reviewing claims processed by examiners based on provider and health plan contractual agreements and claims processing…
Alignment Health is seeking a remote LVN / LPN utilization management (UM) Nurse (must have California license). As a UM nurse, you will review requests for pre-service for both in…