Healthcare Payment Specialists Jobs in San Pedro

Description: Providence is calling a OB Surgical Technician (0.6 FTE, Day Shift) to Providence Little Company Of Mary Torrance Hospital in Torrance, CA. Apply today! Applicants that meet qualifications will receive ..

... when needed, obtain authorization for payment of monies to settle claims. ... position includes:** Knowledge of national healthcare trends, multi-disciplinary professional practice models, ... and understanding of hospital clinical..

**Providence is calling a Physical Therapist (Full-time/Day-Shift) to Providence Little Company Of Mary San Pedro Hospital in San Pedro, CA.** **Apply today! Applicants that meet qualifications will receive a text with ..

JOB DESCRIPTIONAll over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues have the opportunity to grow and develop a career that offers both individual ..

... we believe in providing extraordinary healthcare to our communities and an ... Care stands for excellence in Healthcare. Across our family of medical ... for contract negotiations. Collaborate with..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The UM Specialist contributes to administration of utilization management. How we Value You Benefits starting day 1 of employment Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parent ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Torrance California Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Torrance California Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

... who meet all conditions for payment- this is in addition to ... and other members of the healthcare team including students; facilitates formal ... nursing, other members of the..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Reporting to the Director, of Clinical Research, the Clinical Research Coordinators (CRC) are responsible for all aspects of clinical research activities and work in close cooperation with study physicians. The CRCs ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Los Angeles California Description The Fraud and Waste Professional 2 conducts investigations of allegations ..

... Health is a nonprofit, regional healthcare network that serves approximately 3 ... multispecialty medical (physician) group, home healthcare services and hospice care, as ... Top Hospitals, and College of..

Job Information Humana Senior Integration Specialist - Cloud in Torrance California Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

**Providence is calling a Registered Nurse to the Cardiac Cath Lab for a Full-Time/Day Shift to Providence Saint John's Health Center in Santa Monica, CA** **Up to $20,000 Hiring Bonus for ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

PRIMARY DUTIES AND RESPONSIBILITIES 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 ..

Physician Billing Specialist - FT/Days (Hybrid 8hrs)','MEM007254','!*!Cardiology/Hybrid Review daily assigned tasks through the applications and as assigned . Contact insurance companies, other third party payers regarding claims status and payments via ..

... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, and ... the required qualifications. Understanding..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..