Manager - Payer Relations - Monterey Park

We are currently seeking a highly motivated Manager - Payer Relations. · This role will report to the SVP - Payer Contracting and enable us to continue to scale in the healthcare industry. · Owns Health Plan relationships pertaining to day-to-day issues for all medical groups · ...

Astrana Health is a physician-centric healthcare management company building and operating an integrated value-based healthcare delivery platform to empower physicians to provide high-quality care in a cost-effective manner. · ...

The Manager is responsible for overseeing the daily operations of the claims recovery and revenue integrity team. · ...

The Center for Autism and Related Disorders (CARD) is seeking highly motivated professionals to join their team as Clinical Supervisors. · Uses clinical judgment to promote optimal outcomes for each patient · Develop and maintain treatment plans · Evaluate patients to identify bo ...

We are currently seeking a highly motivated Risk Adjustment Coding Specialist to enable us to continue to scale in the healthcare industry. · Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and ...

We are seeking a highly motivated Risk Adjustment Coding Specialist to enable us to continue scaling in the healthcare industry. This role will report to a Sr. Manager - Risk Adjustment and involve reviewing provider documentation of diagnostic data from medical records to verify ...

The Leave Management Specialist is responsible for administering employee leave of absence programs across Astrana's corporate operations. · Manage leave cases from intake through return to work. · ...

The Center for Autism and Related Disorders is seeking a Clinical Supervisor to oversee treatment plans for patients with autism spectrum disorder. · Develop and maintain treatment plans · Evaluate patients to identify skill deficits and strengths · ...

We are currently seeking a highly motivated Risk Adjustment Coding Specialist to report to a Sr. Manager - Risk Adjustment. · Responsibilities · Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage... · ...

We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. · Review provider documentation of diagnostic data from medical records to verify ...

We believe care goes beyond a medical chart. With kindness and integrity as our guide, we strive for excellence in every interaction. · ...

This position is the first point of contact for patients within the pharmacy and is responsible for entering and accessing information from the pharmacy system, processing payments, adjudicating claims with third party payers. · ...

We are currently seeking a highly motivated bilingual Medical Assistant to assist our medical providers., · This role will report to our Medical Office Manager/Site Administrator and enable us to continue to scale in the healthcare industry. · ,Assists physicians,nurses,and other ...

Collects and manages incoming inquiries from patients, insurance companies and other customers; documents all activity in the facility's patient accounting system. · Must deliver compassion and respect at all encounters while assisting patients and callers with billing questions ...

We are seeking candidates with experience in hospital collections and ability to manage a caseload of accounts per day. Strong communication skills and ability to work effectively in a team environment are essential. · Calls clients to obtain payment owed to the hospital. · ...

This position is the first point of contact for patients within the pharmacy and is responsible for entering and accessing information from the pharmacy system. processing payments · adjudicating claims with third party payers · assisting pharmacy staff with processing fills · ...

The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. · Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials, maximize accurate and timely reimbursement, · and perform reimbursement ...

This position is the first point of contact for patients within the pharmacy and is responsible for entering and accessing information from the pharmacy system. · Responsibilitiesprocessing payments · adjudicating claims with third party payers · ...

The Professional Billing Refund Collector is responsible for accurately reviewing credit balances and processing adjustments, transfers and refunds as needed. · ...

The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays. · ...