- Providence (Anaheim, CA)
- …Health System Home Care Services and thrive in our culture of patient -focused, whole-person care built on understanding, commitment, and mutual respect. Your voice ... qualifications:** + 1 year' Experience in health insurance/benefits verification and authorization + 1 year' Experience in home infusion/specialty pharmacy setting… more
- Illumination Foundation (Santa Ana, CA)
- …nonprofit or community health settings. + Familiarity with HIPAA compliance and referral authorization processes. + Experience with performance tracking or ... County, Los Angeles County and the Inland Empire. Job Description The Manager of Referral Coordination is responsible for the direct supervision of all Referral … more
- Dignity Health (Rancho Cordova, CA)
- …the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... UM Physicians are provided the relevant information needed to accurately review a referral . Fosters the relationship between the Pre- Authorization team and the… more
- Medtronic (San Francisco, CA)
- …and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, ... and developing strategic implanting centers and assisting in developing key referral networks. In certain geographies will also have primary responsibility for… more
- Medtronic (San Diego, CA)
- …and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, ... and developing strategic implanting centers and assisting in developing key referral networks. In certain geographies, will be the account/implanter relationship… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …clinical duties involved in the Cardiac Rehabilitation Program. + Provides safe patient care, clinical supervision, guidance and education to patients and families ... program. + V erify insurance coverage and obtain insurance authorization when applicable. + Maintains EMR documentation to ensure...departments and/or Manager and follow through to ensure that patient care is not compromised. + Maintain a clean,… more
- Dignity Health (Ventura, CA)
- …requirements ensuring accurate documentation of completed requirements in the patient record pre-authorizations complete the check out process with patients ... The Financial Services Associate II is responsible for facilitating a positive patient experience through coordination and advocacy in terms of obtaining financial… more
- Medtronic (Riverside, CA)
- …and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, ... leveraging increased investments to drive meaningful innovation and enhance our impact on patient care. + Conduct sales calls to promote, sell, and service Medtronic… more
- Otsuka America Pharmaceutical Inc. (San Jose, CA)
- …has launched a new customer engagement approach designed to better deliver on patient , caregiver and HCP expectations in an evolving healthcare environment. The new ... delivering a higher quality experience that ultimately is focused on improving patient care. The "ecosystem approach" creates a unified focus among account… more
- The County of Los Angeles (Los Angeles, CA)
- …and regulations pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued ... as the liaison with the physician advisor for the referral of unusual questionable cases, on referred cases for...cases, on referred cases for reconsideration, and to obtain authorization for the issuance of denial letters. + Reviews,… more
- Elevance Health (Walnut Creek, CA)
- …+ Claim reviews for appropriate coding, data mining, entity review, law enforcement referral , and use of proprietary data and claim systems for review of facility, ... + Formulary, clinical rules, pharmacy claims analysis, and/or prior authorization experience for a pharmacy benefit manager or health...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more