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Full-Time Medical Review Specialist jobs in California

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MEDICAL CODING SPECIALIST (REMOTE IN CA)

Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care. Through our joint venture with Evergreen Nephrology we are a growing organization wit...

CompanyBalboa Nephrology
AddressSan Diego, CA
CategoryHealthcare
Job typeFull-Time
Date Posted 7 days ago See detail

Medical Coding Specialist (Remote in CA)

Balboa Nephrology

San Diego, CA

Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care. Through our joint venture with Evergreen Nephrology we are a growing organization wit...

7 days ago seen See more...

CA-TF5 US&R Medical Specialist

Orange County Fire Authority

Irvine, CA

The position also requires working in disaster zones, in adverse weather conditions, hazardous atmospheres and flight in military or civilian aircraft (fixed and rotary).As a Member of the US&R Task Force you will be asked to repr...

3 weeks ago seen See more...

CA-TF5 US&R Medical Specialist

Orange County Fire Authority, Ca

Irvine, CA

Current, OCFA Fire Captains, Fire Apparatus Engineers, or non-probationary Firefighters. Participation in the OCFA "WEFIT" program. Have a basic knowledge of US&R and GPS operations. Demonstrate the ability to follow orders and pe...

3 weeks ago seen See more...

Supervising Physician Specialist - Medical Director of Substance Use Disorder Services 2233

City And County Of San Francisco

San Francisco, CA

*Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to p...

2 weeks ago seen See more...

Operations Specialist - Medical Records and Payroll

Aveanna Healthcare

West Covina, CA

Health, Dental, Vision Insurance. 401(k) Savings Plan with Employer Matching. Employee Stock Purchase Plan. Company-Paid Life Insurance. Paid Holidays, Paid Vacation Days, Paid Sick Days. Opportunities to advance and grow professi...

2 weeks ago seen See more...

Specialist, Medical Field Development

Pacific Dental Services

Irvine, CA

Models company culture, values, standards and best operation practices based on the We Believe Behavioral Framework.. Assist supported medical offices on optimizing their potential through efficient, effective execution of the Per...

2 weeks ago seen See more...

Utilization Review Specialist

Affinity Recovery

Newport Beach, CA

$65,000 - $75,000 a year

Clinical Record Review: Thoroughly review mental health and substance abuse clinical records. Utilization Determination: Evaluate treatment plans and services for compliance and necessity. Collaboration: Work closely with clinical...

a month ago seen See more...

Utilization Review Specialist

Pacific Grove Hospital

Riverside, CA

$60.6K - $76.7K a year

Competitive Salary. Paid Time Off. Paid Holidays (8 Total). Medical, Dental, & Vision Insurance. FSA & HSA Plans. Long-Term & Short-Term Disability. Company Paid Life Insurance. Supplemental Life Insurance. Employee Assistance Pro...

a month ago seen See more...

Claims Review Specialist - Accounting/ Revenue Integrity Analyst

Bravens

Los Angeles, CA

REQUIRED EXPERIENCE:Take on a significant role within a world-class health organization. This will involve applying dashboards and processes for continuous analysis of complex revenue cycle functions while also auditing data input...

2 months ago seen See more...

Special Investigations Unit Medical Reviewer

Inland Empire Health Plan

Rancho Cucamonga, CA

CalPERS retirement. 457(b) option with a contribution match. Generous paid time off- vacation, holidays, sick. State of the art fitness center on-site. Medical Insurance with Dental and Vision. Paid life insurance for employees wi...

2 months ago seen See more...

Senior Special Investigations Unit Medical Reviewer

Inland Empire Health Plan

Rancho Cucamonga, CA

CalPERS retirement. 457(b) option with a contribution match. Generous paid time off- vacation, holidays, sick. State of the art fitness center on-site. Medical Insurance with Dental and Vision. Paid life insurance for employees wi...

2 months ago seen See more...

Utilization Review Specialist (Behavioral Health)

Canyon Ridge Hospital

Chino, CA

$22 - $28 an hour

Competitive Compensation Canyon Ridge Hospital provides a challenging and rewarding work environment. Growth and development opportunities within UHS and its subsidiaries Minimum Bachelors Level Degree in nursing, social work, ps...

2 months ago seen See more...

CRE Loan Review Specialist II

City First Bank N.a.

Inglewood, CA

Evaluate the financial position of borrowers through financial cash flow analysis including Global Cash Flow, with the goal of identifying problem loans or developing problems in a timely manner in order to minimize losses. Analyz...

2 months ago seen See more...

Independent Medical Review Complaint Analyst

State Of California

Sacramento, CA

ASSOCIATE GOVERNMENTAL PROGRAM ANALYST. Job Application Package Checklist. Duty Statement. The position(s) require(s) a Background Investigation be cleared prior to being hired. Current version of the State Examination/Employment...

2 months ago seen See more...

Claims Review Specialist - Accounting

Siri Infosolutions Inc

Los Angeles, CA

Analyze complex financial data. Identify trends in revenue cycle operations. Summarize data and present reports to leadership. Serve as liaison with departments to thoroughly define reporting and information requirements. Evaluate...

2 months ago seen See more...

Director, Skincare Medical Review Operations

Abbvie

Irvine, CA

$264K - $334K a year

Leads Global Medical Operations team, including Pharmacovigilance, Medical Information, and Medical Review, in executing all activities and deliverables that support pipeline and lifecycle management of existing skincare products...

2 months ago seen See more...

Senior Manager, Medical Information and Review

Acadia Pharmaceuticals Inc.

San Diego, CA

Participates in the review of promotional and medical materials to ensure medical accuracy. Maintains an understanding of product knowledge and labeling, associated disease states, relevant literature, treatment guidelines, compet...

4 weeks ago seen See more...

Remote Medical Claim Review LVN - Work PST Hours

Molina Healthcare

Long Beach, CA

$21.60 - $46.81 an hour

Performs clinical/medical reviews of retrospective Medical Claim Reviews, Medical Claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims p...

a month ago seen See more...

Optometrist - Miramar Eye Specialists Medical Group

Nvision Eye Centers

Camarillo, CA

From $140,000 a year

Leads all clinical aspects of center to ensure the best patient care for all general ophthalmology, cataract, and glaucoma patients. Work with the technicians to improve efficiencies in testing and patient work up, in addition to...

a month ago seen See more...

Regional Sales Specialist (Medical Division) - HIRING IN MULTIPLE TERRITORIES

North Coast Medical, Inc.

Morgan Hill, CA

$70,000 - $90,000 a year

Competitive salaries. Excellent benefits (e.g. Medical / Dental / Vision / Life Insurance, PTO, 401k Match, Employee Assistance Program). And the opportunity to work from home. Atlanta, Georgia. Chicago, Illinois. Long Island, New...

a month ago seen See more...

Medical Billing Specialist

Psychstrategies

Santa Rosa, CA

$22 - $25 an hour

Modern office setting. Multiple offices in Santa Rosa and Petaluma. Perform posting charges. Perform completion of claims to payers. Conduct duties in a professional and timely fashion. Submit billing data to the appropriate insur...

a month ago seen See more...

Medical Business Office Specialist

Silicon Valley Surgery Center

Los Gatos, CA

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Sr Specialist, Process Review - Remote

Molina Healthcare

Long Beach, CA

$44,936.59 - $97,362.61 a year

Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other...

a month ago seen See more...

Surgical Operational Efficiency Specialist - Medical Device - Surgery Support - Houston, TX

Karl Storz Endoscopy - America

Los Angeles, CA

$22.00 - $26.00 per hour

Face-to-face customer support, including OR, SPD, and Biomed,. Preventative maintenance and management of endoscopy products so that they are always in good working order and ready for use including documentation of their function...

a month ago seen See more...

Onsite Endoscopic Specialist- Medical Devices - Surgery Support - Gainesville, FL - Now Hiring

Karl Storz Endoscopy - America

Los Angeles, CA

$20.19 - $31.30 per hour

Face-to-face client support, including Operating Room, Sterile Processing Department and Biomed. Daily maintenance and management of the client's KARL STORZ devices. Maintain the instrument sets so they are always in excellent wor...

a month ago seen See more...

Medical Scheduler/Insurance Verification Specialist

Halo Staffing Group Llc

Irvine, CA

$22 - $23 an hour

Schedule surgeries with the Hospital and Physicians schedule. Answer patient questions and answering phone call with excellent customer service. Insurance verification, prior authorizations and understanding of patient financial c...

a month ago seen See more...

Medical Business Office Specialist Part-Time

Los Robles Surgery Center

Thousand Oaks, CA

$19.70 - $27.58 an hour

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Utilization Review (UR) Specialist - Addiction Treatment Program

Renewal Health Group

Los Angeles, CA

Medical, dental, vision, short-term disability, and life insurance. Reimbursement for licensing fees. Education assistance. Employee referral bonus. Healthcare Flexible spending account with $250 company contribution for Full time...

a month ago seen See more...

Remote Medical Benefit Review Services Associate II

Conduent

Los Angeles, CA

$17 - $22 an hour

Review of paid claims, adjusted claims, and offset claims in the client system. Review of member eligibility, update of member eligibility. Investigates and communicates questionable situations. Documents findings from the client...

a month ago seen See more...

Customer Service Rep/Release of Information Specialist/Medical Records

Vrc Companies

Glendale, CA

Train, explain tasks, and assist in the solution of customer problems. Answer incoming phone calls, faxes, emails and respond to customer requests. Identify and assess customers needs to achieve satisfaction. Handle complaints an...

a month ago seen See more...

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