- 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
- Medtronic (Los Angeles, 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. (Costa Mesa, 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 (Los Angeles, 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