- Owning Health Plan Relationships: The successful candidate will have excellent negotiation skills, ability to manage multiple priorities and effective communication with internal stakeholders.
- Driving Root Cause Solutions: Identifying areas for process improvement and collaborating with cross-functional teams to implement changes that increase efficiency and effectiveness.
ACTION RESPONSIBILITIES: Owns escalated customer complaints;
, responsible for resolving daily disputes between our medical groups;
.
.Review Departmental emails; Build good-working relations with physicians; develop implementations strategy plans.; Assigning timetables at free-form discretion.. -
Payer Contract Coordinator
1 month ago
Only for registered members Cerritos, CAThe Payer Contract Coordinator plays a vital role in expanding patient access to life-changing cancer care. · We are committed to fostering an environment where your contributions are recognized, your development is prioritized, and your work has meaningful, measurable impact eve ...
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Payer Contract Coordinator
1 month ago
Only for registered members Cerritos Full time $24.34 - $27.49 (USD)The Payer Contract Coordinator plays a vital role in expanding patient access to life-changing cancer care by owning and managing the Letters of Agreement (LOA) process and supporting the tracking and maintenance of payor contracts. · ...
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Payer Contract Coordinator
4 weeks ago
Only for registered members Cerritos, California, United StatesAs a Payer Contracts Coordinator you play a vital role in expanding patient access to life-changing cancer care. · ...
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Payer Contract Coordinator
2 weeks ago
Only for registered members Cerritos, California, United StatesJob summaryAbout The Oncology Institute is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. · ...
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Payer Contract Coordinator
1 month ago
Only for registered members Cerritos, CAThe Payer Contract Coordinator plays a vital role in expanding patient access to life-changing cancer care by owning and managing the Letters of Agreement (LOA) process and supporting the tracking and maintenance of payor contracts. · ...
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Payer Contract Coordinator
4 weeks ago
Only for registered members Cerritos Full time $24.34 - $27.49 (USD)The Payer Contracts Coordinator plays a vital role in expanding patient access to life-changing cancer care. They own and manage the Letters of Agreement process and support tracking and maintenance of payor contracts. The position requires attention to detail, strong organizatio ...
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Reimbursement Specialist
2 days ago
Only for registered members Orange, CAAssist the Reimbursement Supervisor in Collection and Billing. · Follows payer requirements and maintains confidentiality. · Follows appropriate payer requirements,policies and procedures when billing for products,care and services. · Maintains the confidentiality of patients/cu ...
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Respiratory Care Practitioner, Sleep Lab
1 month ago
Only for registered members Orange $41.47 - $68.43 (USD)+Job summary · The Respiratory Care Practitioner-Sleep performs a variety of sleep studies (polysomnograms) on infants and children. Processes all documentation to provide accurate information to the physician. · +QualificationsMinimum 3 years of respiratory acute care experience ...
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RN Care Manager, Outpatient Oncology
1 week ago
Only for registered members Orange, CAResponsible for the delivery of care coordination services for patients in the clinic setting. · Is involved in the planning and delivery of family-centered patient care through a collaborative process including the patient and family nurses social workers physicians other practi ...
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RN Care Manager, Outpatient Oncology
2 days ago
Only for registered members - OrangeResponsible for the delivery of care coordination services for patients in the clinic setting. Is involved in the planning and delivery of family-centered patient care through a collaborative process including the patient and family, nurses, social workers, physicians, other prac ...
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Clinical Supervisor
5 days ago
Only for registered members US CA OrangeThe Center for Autism and Related Disorders is seeking highly motivated professionals to join our team. As a member of our growing, founder-owned organization. · Earn big: Up to $30 · ...
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Director Provider Credentialing
2 days ago
Only for registered members Santa Ana, CAThe Director of Provider Credentialing is responsible for coordinating the administrative function related to the credentialing and privileging process for all applicable medical staff and allied health professions. · Provides leadership, direction, process improvement models, an ...
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Ambulatory Care Manager, CHOC Health Alliance
1 month ago
Only for registered members Orange, CAThe Ambulatory Care Manager utilizes the nursing process to help members/ families that have experienced a critical event or have a diagnosis requiring extensive resources. · Ensure care is delivered in an efficient and cost-effective manner in an effort to achieve optimal clinic ...
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Pharmacy Intake Coordinator
2 days ago
Only for registered members Orange, CAThe pharmacy intake coordinator will communicate with patients to obtain information required to process prescriptions. They will investigate insurance benefits and eligibility for pharmacy claims. The candidate should have a high school diploma or GED and 1 year of proven work e ...
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PD Principal Admitting Worker
1 week ago
Only for registered members OrangeThe incumbent coordinates the care services for assigned patients for an episode of illness or treatment as defined by the case manager. Promotes the effective utilization of resources using current knowledge and awareness of community resources to achieve optimal care. · Promote ...
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Pharmacy Intake Coordinator
2 days ago
Only for registered members Orange, CAThe Pharmacy Intake Coordinator will communicate with patients to obtain information required to process prescriptions, refills access benefits and apply charges against co-pay cards. · Investigate and verify insurance benefits for assigned cases Obtain prior authorizations; init ...
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Supervisor – Inpatient Case Management
2 weeks ago
Only for registered members Orange Full time $110,000 - $120,000 (USD)The Supervisor is responsible for leading and overseeing the daily operations of the inpatient case management team. · ...
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Infusion Nurse Care Manager
4 weeks ago
Only for registered members Orange, CA Remote jobThe Infusion Nurse Care Manager provides comprehensive patient-centered oversight for individuals receiving long-term IVIG SCIG and biologic therapies. This remote-based role blends advanced infusion expertise with chronic care management ensuring safe therapy initiation ongoing ...
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Care Transition Associate
3 weeks ago
Only for registered members Orange, CAThe Care Transition Associate performs patient-centered administrative tasks to support care coordination within acute care hospital hubs.The role involves supporting patients and families with discharge plans, coordinating post-acute services, and ensuring timely starts of care. ...
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Senior Claims Specialist
1 month ago
Only for registered members Santa Ana $30 - $32 (USD)The CalAIM Senior Claims Specialist is responsible for ensuring accurate and compliant claim submission payment posting denial resolution and billing follow-up for CalAIM contracted services. · This position plays a critical role in supporting the organization's revenue cycle by ...
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Patient Care Specialist
2 weeks ago
Only for registered members Santa Ana, CAWhole Health Pharmacy strives to promote and achieve optimal therapeutic outcomes through collaborative disease therapy management. · ...
Senior Payer Coordinator - Orange - beBeePayerRelations
Job title: Manager - Payer Relations
Description
About the Role
This is an exciting opportunity to join our organization as a Manager - Payer Relations Specialist.
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Payer Contract Coordinator
Only for registered members Cerritos, CA
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Payer Contract Coordinator
Full time Only for registered members Cerritos
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Payer Contract Coordinator
Only for registered members Cerritos, California, United States
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Payer Contract Coordinator
Only for registered members Cerritos, California, United States
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Payer Contract Coordinator
Only for registered members Cerritos, CA
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Payer Contract Coordinator
Full time Only for registered members Cerritos
-
Reimbursement Specialist
Only for registered members Orange, CA
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Respiratory Care Practitioner, Sleep Lab
Only for registered members Orange
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RN Care Manager, Outpatient Oncology
Only for registered members Orange, CA
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RN Care Manager, Outpatient Oncology
Only for registered members - Orange
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Clinical Supervisor
Only for registered members US CA Orange
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Director Provider Credentialing
Only for registered members Santa Ana, CA
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Ambulatory Care Manager, CHOC Health Alliance
Only for registered members Orange, CA
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Pharmacy Intake Coordinator
Only for registered members Orange, CA
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PD Principal Admitting Worker
Only for registered members Orange
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Pharmacy Intake Coordinator
Only for registered members Orange, CA
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Supervisor – Inpatient Case Management
Full time Only for registered members Orange
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Infusion Nurse Care Manager
Only for registered members Orange, CA
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Care Transition Associate
Only for registered members Orange, CA
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Senior Claims Specialist
Only for registered members Santa Ana
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Patient Care Specialist
Only for registered members Santa Ana, CA