Accounting Assistant

**Position Summary**: This position will provide day-to-day support as a Medical Group Accounts Receivable Specialist. This position focuses almost entirely on accounts receivable follow-up and is responsible for performing third party insurance follow-up in the Central Billing Office. The personnel within this position are responsible for accomplishing...

**Position Summary**: This position will provide day-to-day support as a Medical Group Accounts Receivable Specialist. This position focuses almost entirely on accounts receivable follow-up and is responsible for performing third party insurance follow-up in the Central Billing Office. The personnel within this position are responsible for accomplishing...

Job DescriptionPosition Summary:This is a temporary position. Assist the Chief Medical Officer ("CMO") in all aspects of her job responsibilities locally, as well as on a corporate level, on a daily basis.Essential Duties and Responsibilities include the following:Manage all incoming calls to CMO. If possible dealing with each issue personally, reducing...

The Universal Banker is responsible for providing exceptional service delivery to our internal and external customers in coordination with the Branch team. The overall objective is to effectively execute all service transactions (e.g. deposits, payments, address changes, replacement card orders, disputes, etc.) and sales (including opening accounts, credit...

The Payment Poster is responsible for the posting and reconciliation of all electronic and manual insurance payments and patient payments. **ESSENTIAL JOB DUTIES**: - Process and post incoming payments. - Reconcile and adjust patient accounts. - Process denials and follow-up on unpaid claims and denials. - Create patient statements to correctly show the...

**Careers that Change Lives** **Team is working hybrid onsite 3 days/week in Northridge but will consider US remote worker.** **If you are looking to expand business partnering skills, utilize your influencing and negotiation capabilities, and lead high-visibility projects, come join our Diabetes Controllership team! The Diabetes Group is working with the...

Position Summary:This individual will be accountable for providing clinical care management and coordination support to high-risk members with cardiovascular related diagnosis/conditions in the Northwest Region of Regal Medical Group (Regal). This position is embedded in a cardiology clinic and supports members enrolled in Regal cardiovascular disease...

Job DescriptionPosition Summary:The HEDIS Pharmacy Technician is an active member of the HEDIS department and works closely with other team members and management. The HEDIS Pharmacy Technician will assist with quality measures related to medications and disease states including diabetes and dyslipidemia. The HEDIS Pharmacy Technician will report to the...

**Position Purpose**: Provides coordination of all activities connected with meeting the daily transportation needs of SVS Programs within a designated SVS area. Base Office**:437-Northridge** Office to cover: Lancaster, Palmdale, Simi, Van Nuys, **Northridge** **Duties and Responsibilities** - Train and evaluate SVS drivers - Establish and maintain SVS...

**Essential Duties and Responsibilities include the following**: - Schedule interviews for hiring managers in multiple locations. - Assist in managing 40-150 openings at any given time. - Manage full cycle recruitment for assigned requisitions. - Pre-screen, forward and follow-up on resume submittals to Hiring Managers. - Track and facilitate testing and...

Job DescriptionPosition Summary: Credential all new providers, Re-credential existing Providers according to Regal Medical Group credentialing policies and procedures. Submit credentialing information as requested by contracted HMOs. Maintain and update files on all credentialed Providers. Provide credentialing information on a Provider when requested by...

Job DescriptionPosition Summary: The Encounter Data Analyst I, interprets results using a variety of techniques, ranging from simple data aggregation via statistical analysis to complex data mining. Designs, develops, implements and maintains business solutions. Works directly with clients and project and business leaders to identify analytical requirements....

Job DescriptionThis site works a 4/10 Alternative Work ScheduleAssists the PACU Charge Nurse in the daily clinical operations of the PACU in accordance with established Federal, State, and accreditation standards and center policies and procedures. Participates in direct patient care including maintaining a clean, orderly and safe environment.The...

Job Description Fitness Trainer Responsible for providing a safe and effective exercise environment for club Members/Guests through supervision of exercise programs, education of the Members/Guests in exercise and a focus on establishing a personalized program of exercise for each Member/Guest. Also responsible for promoting the facility and the club, while...

Job DescriptionPosition Summary:The Denial Nurse is responsible for being the "second line" resource for preparing and maintaining health plan criteria for the campus Medical Directors. This includes collaborating with each Health Plan to obtain updated/adequate criteria for each specialty to ensure that appropriate criteria are referenced upon furnishing a...

Job DescriptionPosition Summary:Responsibilities include but are not limited to data entry, maintenance, and reporting in, of and from the Contract Database (CDB); verification and processing of various forms used by, Network Management, HR, Corporate and IS; and gathering provider information from a variety of sources.Essential Duties and Responsibilities...

Job DescriptionPosition Summary:Responsible for entering encounter data onto the claims adjudication system. In addition, and/or data enter encounter information onto the HMO system(s).Essential Duties and Responsibilities include the following:Responsible for the accurate and timely completion of tasks assigned and adhering to hourly/daily production...

Job DescriptionThe Medical Director of Risk Adjustment is responsible and accountable for the performance of a specific region in terms of RAF score for all product lines that risk adjust and quality scores for all product lines. The Medical Director will be working with internal staff, larger and exclusive PCPs, and CFO to ensure performance of the assigned...

Job DescriptionPosition Summary:This position is responsible for running reports for Health Plans (such as ODAGs, Part C and Inpatient Logs). The analyst is familiar with the terminology and specifications for health plan compliance reporting and designs reports per those specifications. Excellent attention to detail and the ability to consistently produce...

Job DescriptionPosition Summary:The HEDIS Pharmacy Outreach Coordinator is an active member of the HEDIS department and works closely with other team members and management. The HEDIS Pharmacy Outreach Coordinator will perform outbound calls to beneficiaries regarding quality measures related to medications. The HEDIS Pharmacy Outreach Coordinator will...