Medical Biller - Cal AIM
Patient access representative job in San Diego, CA
The Medical Biller for Cal AIM Services is responsible for accurately billing and processing claims for Enhanced Care Management (ECM), Recuperative Care, Community Supports (CS), detox billing, and other Cal AIM-related services. This role ensures timely claim submission, compliance with DHCS and Managed Care Plan (MCP) requirements, and effective coordination with clinical, administrative, and data teams to support revenue integrity.
Essential Functions
Prepare, submit, and track claims for ECM, Recuperative Care, Community Supports, detox billing, and other Cal AIM service lines.
Verify eligibility and authorization requirements for all Cal AIM beneficiaries.
Ensure documentation meets Cal AIM billing standards, including encounter data, activity logs, and service notes.
Reconcile encounters and claims to identify discrepancies or missing documentation.
Process claims corrections, resubmissions, and voids as needed.
Collaborate with ECM/CS/RCP program staff, care managers, and supervisors(stakeholders) to clarify documentation needs and share reconciliation reports of reimbursements.
Communicate with Managed Care Plans regarding claim follow-up, denials, Appeals and payment discrepancies.
Provide feedback and training to program staff regarding billing requirements and documentation best practices.
Maintain accurate records of claims, payments, denials, Appeals and adjustments.
Generate billing reports, productivity summaries, and revenue tracking related to Cal AIM services.
Support audits and data validation efforts as required.
On time, completion of assigned training and policies.
Performs other duties as assigned.
Qualifications
High school diploma or equivalent.
5-7 years of medical billing experience.
Knowledge of Medi-Cal or Medicaid billing processes.
Strong data entry accuracy and attention to detail.
Ability to review clinical documentation and apply billing rules.
Experience with CalAIM, ECM, or Community Supports billing.
Familiarity with DHCS/health plan portals.
Proficient computer skills, with intermediate proficiency in MS Office (Word, Excel, and PowerPoint)
The Pay Rate for this role is based on several factors including the candidate's experience, qualifications, and internal equity. The initial offer usually falls between the minimum and midpoint of the applicable salary range. Pay Band N5: $25.71 - $34.06 (Midpoint: $29.65).
Auto-ApplyCARES Coordinator (Student Services Professional III)
Patient access representative job in San Diego, CA
Under the direction of the Assistant Dean of Students for Student Life, the Campus Assistance, Response, Engagement & Support (CARES) Program serves as an early support initiative that serves as a safety "net" to assist students who may be experiencing challenges inside or outside of the classroom. The program will provide comprehensive outreach services to identify and support students in managing all aspects of their wellbeing. The program will provide support including coordination, advocacy (when appropriate), referrals, and follow-up services for students experiencing significant difficulties. Examples include academics (i.e., attendance, poor test scores, tutoring needs, at risk of failing course), behavioral (i.e., anxiety, loneliness, disruptive behavior, conduct), or personal challenges (i.e., family crisis, death in the family, death of a fellow student, significant life changes, financial concerns).
The CARES Program provides advocacy and support services that will increase student engagement, success, retention/persistence, and graduation. The CARES team will meet with students who experience challenges that may interfere with their academic pursuits.
Vision: To serve the San Diego State University community by coordinating support efforts both on and off campus in order to assist students facing challenges, stressors, and barriers that impede academic and personal success.
Mission: To provide high quality, systems-based outreach and support services that assist and empower students in identifying and managing interpersonal, academic, and healthcare concerns. We do this by:
* Responding to concerns from the SDSU community about students in distress; communicating with students to address their needs;
* Connecting students to appropriate resources and services;
* Providing a central point of contact for students facing a crisis or trauma;
* Fostering resilience and self-advocacy in students to manage their responsibilities and work toward their goals;
* Communicating across systems to keep the campus community and individuals safe and healthy; and
* Advocating for students individually and systemically
For more information regarding the Campus Assistance, Response, Evaluation, and Support Team, click here.
Education and Experience
Equivalent to graduation from a four-year college or university in a related field, including or supplemented by upper division or graduate course work in counseling techniques, interviewing, and conflict resolution where such are job-related.
A master's degree in Counseling, Clinical Psychology, Social Work, or a directly related field may be substituted for one year of experience. A doctorate degree and the appropriate internship or clinical training in counseling or guidance may be substituted for the three years of experience for positions with a major responsibility for professional career or personal counseling.
Possession of these knowledge and abilities is typically demonstrated through the equivalent of three years of progressively responsible professional student services work experience. One year in the program area to which assigned may be preferred but is not required.
Key Qualifications
* Experience using Microsoft Office applications and Google applications.
* Master's degree from an accredited college or university in social work, counseling, higher education, student affairs or job-related field is preferred.
* Experience advising and/or counseling underrepresented, low-income and first-generation college students and working effectively with students from diverse backgrounds.
* Experience working with college students, parents, and families.
* Experience conducting presentations in small and large group settings: facilitating workshops using effective public speaking techniques.
* Experience advising and/or counseling students in academic and/or co-curricular settings.
Compensation and Benefits
San Diego State University offers competitive compensation and a comprehensive benefits package designed to support your well-being and professional growth.
Compensation:
Salary is based on your experience, education, and qualifications, within the department's budget and equity guidelines.
* CSU Classification Salary Range: $5,540 - $7,893/month; hiring salary not expected to exceed $5,540/month.
Full Benefits Package Includes:
* Generous Time Off: 15 paid holidays, vacation, and sick leave.
* Retirement: CalPERS pension plan with retiree healthcare, and reciprocal agreements with other California public retirement systems, including the UC.
* Health Coverage: Medical, dental, and vision options at low or no cost.
* Education Support: CSU tuition fee waiver for employees and eligible dependents.
* Optional Offerings: FlexCash, life and disability insurance, legal and pet plans.
* Campus & Community: Access to the library, campus events, employee groups, and volunteer and social activities.
Our benefits are a significant part of total compensation. Learn more at the SDSU Benefits Overview.
SDSU Values
At SDSU, our diversity gives us power and benefits every single member of our community. Consistent with California law and federal civil rights laws, SDSU provides equal opportunity for all in education and employment. We encourage all members of our community to purposefully learn from one another through open and respectful dialogue and responsible engagement. We strongly preserve the right to free expression and encourage difficult conversations that help lead to improved individual and community learning and cohesion.
Principles of Community
At San Diego State University, we are a community of diverse individuals who have and represent many perspectives, beliefs, and identities. This diversity lends our community strength, and we commit to creating and sustaining an inclusive and intellectually vibrant environment that benefits all members of our university.
SDSU's Principles of Community is an aspirational statement that is intended to evolve over time. The statement reflects the ideals we are encouraged to uphold in our interactions with one another.
Equal Opportunity and Excellence in Education and Employment
All university programs and activities are open and available to all regardless of race, sex, color, ethnicity or national origin. Consistent with California law and federal civil rights laws, San Diego State University (SDSU) provides equal opportunity in education and employment without unlawful discrimination or preferential treatment based on race, sex, color, ethnicity, or national origin. Our commitment to equal opportunity means ensuring that every student and employee has access to the resources and support they need to thrive and succeed in a university environment and in their communities. SDSU complies with Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act, the California Equity in Higher Education Act, California's Proposition 209 (Art. I, Section 31 of the California Constitution), other applicable state and federal anti-discrimination laws, and CSU's Nondiscrimination Policy. We prohibit discriminatory preferential treatment, segregation based on race or any other protected status, and all forms of discrimination, harassment, and retaliation in all university programs, policies, and practices.
SDSU is a diverse community of individuals who represent many perspectives, beliefs and identities, committed to fostering an inclusive, respectful, and intellectually vibrant environment. We cultivate a culture of open dialogue, mutual respect, and belonging to support educational excellence and student success. Through academic programs, student organizations and activities, faculty initiatives, and community partnerships, we encourage meaningful engagement with diverse perspectives. As a higher education institution, we are dedicated to advancing knowledge and empowering individuals to reach their full potential by prioritizing inclusive curriculum development, faculty and staff training, student mentorship, and comprehensive support programs. At SDSU, excellence is built on merit, talent, diversity, accessibility, and equal opportunity for all.
Supplemental Information
Apply by November 4, 2025 to ensure full consideration. Applications submitted after this date will be reviewed on an as-needed basis, and the position will remain open until filled.
The person holding this position is considered a 'mandated reporter' under the California Child Abuse and Neglect Reporting Act and is required to comply with the requirements set forth in CSU Executive Order 1083 as a condition of employment.
San Diego State University is not a sponsoring agency for staff or management positions (e.g., H-1B visa). Applicants must currently be authorized to work in the United States on a full-time basis. Offers of employment are contingent upon the presentation of documents that demonstrate a person's identity and authorization to work in the United States, which are consistent with the provisions of the Immigration Reform and Control Act.
A background check (including a criminal records check) must be completed satisfactorily and is required for employment. SDSU will make a conditional offer of employment, which may be rescinded if the background check reveals disqualifying information, and/or it is discovered that the candidate knowingly withheld or falsified information. Failure to satisfactorily complete the background check may affect the continued employment of a current SDSU employee who was conditionally offered the position.
SDSU is a smoke-free campus. For more information, please click here.
Reasonable accommodations will be provided for qualified applicants with disabilities who request an accommodation by contacting Pang Thao at ***************.
Advertised: Oct 21 2025 Pacific Daylight Time
Applications close:
Patient Care Service Representative II
Patient access representative job in San Diego, CA
Job DescriptionAbout Us
Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona-and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.
At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others.
Position Summary
We are seeking a highly skilled and compassionate Patient Care Services Representative II to join our team in a hybrid Medical Assistant (MA) and Patient Services Representative (PSR) role. This unique position blends front office administrative duties with back office clinical support, ideal for someone who thrives in a dynamic and patient-centered environment. This role is non-exempt (hourly) and full-time, working 40 hours per week, Monday through Friday.
This role will be based primarily in our Solana Beach clinic but may also provide support to other nearby locations within San Diego County. The ideal candidate is adaptable and enjoys collaborating across multiple sites to ensure seamless operations and excellent patient experiences.
Key Responsibilities
Front Office & Administrative Duties:
Greet patients and visitors warmly and professionally.
Manage check-in and check-out processes, verify insurance, and collect co-pays.
Schedule patient appointments, testing, and follow-ups in collaboration with providers.
Submit and track prior authorizations, including verifying insurance and submitting required documentation.
Answer incoming calls and respond to patient inquiries with courtesy and accuracy.
Maintain up-to-date, HIPAA-compliant records in the electronic health record (EHR) system.
Ensure the front office area remains clean, organized, and well-stocked with necessary forms and supplies.
Assist with emergency response protocols by alerting clinical staff as needed.
Contribute to the onboarding and training of new team members to build support and cross-functional skills.
Clinical & Patient Care Duties (if MA certified):
Perform diagnostic procedures such as allergy skin testing, pulmonary function tests (PFTs), and FeNO testing.
Administer allergy and immunotherapy injections following clinical safety protocols.
Prepare and maintain allergy serum and oral desensitization vials.
Monitor and document patient vitals and treatment responses.
Support physicians and advanced practice providers during clinical consultations and procedures.
Educate patients and families on allergy and asthma care plans and treatment options.
Respond to and manage allergic reactions, including emergency interventions when needed.
Escort patients to exam rooms and prepare for provider exams.
Assist in preparing asthma action plans, Epinephrine training, and discharge instructions.
Maintain clean and stocked exam rooms; log refrigerator temperatures and sterilize instruments per protocols.
Assist with clinical prior authorizations under the direction of a supervisor.
Additional responsibilities as assigned.
Qualifications & Requirements
Education: High school diploma or equivalent required.
Experience: 3+ years of experience in a front desk, medical receptionist, or Medical Assistant (MA) role.
Experience with insurance verification, scheduling, and electronic health records preferred.
Licensure & Certifications:
Certified or Licensed Medical Assistant (California), if performing clinical duties.
CPR certification (or willingness to obtain upon hire).
Skills & Abilities:
Strong interpersonal, customer service, and communication skills.
Excellent organizational and multitasking ability in a clinical setting.
Knowledge of medical terminology and EHR systems.
Familiarity with HIPAA and OSHA compliance standards.
Ability to remain composed in fast-paced and emergency situations.
Commitment to patient confidentiality and high-quality service delivery.
Preferred Qualifications:
Prior experience in allergy, immunology, or respiratory care settings.
Comfort with performing skin testing and pulmonary diagnostics.
Experience submitting and managing insurance prior authorizations.
Compensation
The hourly range for this position is $27.00-32.00/hour. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate's skills, education, and experience.
Physical Requirements
Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable.
What We Offer
Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities
In addition, we offer paid time Off (PTO), sick time, floating holiday and holiday pay
Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)
A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth
If this role excites you, please submit your resume and a cover letter outlining your relevant experience and why you're passionate about joining our team. We look forward to hearing from enthusiastic candidates ready to drive our success!
California Consumer Privacy Act (CCPA) Notice
Modena Health ("MH") and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act ("CCPA"). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process.
Patient Access Rep - PAR Level 3
Patient access representative job in San Diego, CA
Company is the region's pediatric medical center serving San Diego, Imperial and southern Riverside counties. We are: •The largest children's hospital in California (based on admissions)
•The sixth largest children's hospital in the country
•The only hospital in the San Diego area dedicated exclusively to pediatric healthcare
•The region's only designated pediatric trauma center
•Provider of care to 88 percent of the region's children
•Provider of care to 196,905 children (in fiscal year 2014)
Our outstanding team includes more than 730 physicians and more than 1,200 nurses, more than 3,900 employees, more than 500 active volunteers, and more than 1,200 Auxiliary members.
Job Description
The manager is looking for a solid Patient Access Representative III's for their Central Authorization department. The PAR III will be helping with the workload for infusion, hematology, and proton therapy authorizations.
Candidate will work in the Central Authorization Department, helping with infusion, hematology and proton therapy authorizations.
Patient Access Representative III secures and provides appropriate information to patient families and funding sources to register, schedule and/or obtain authorizations for inpatient, outpatient, and/or diagnostic services.
Qualifications
High School Diploma or equivalent
Minimum of 3 yr work experience in health care setting
Must have Insurance Verification & Authorization Experience
Ability to work in a call center environment
Medical Terminology experience
Preferred:
EPIC (or at least another EMR)
Bilingual (Spanish)
background in medical terminology
Additional Information
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm
Patient Service Specialist - ED - Hillcrest
Patient access representative job in San Diego, CA
Scripps Mercy Hospital has served central and downtown San Diego since 1890 and is the oldest medical center in the county. The San Diego campus is located near the corner of 5th Avenue and Washington Street in Hillcrest. Scripps Mercy Hospital consists of two campuses in San Diego and Chula Vista.
Scripps Mercy Hospital San Diego's campus includes the O'Toole Breast Care Center, a 24-hour emergency room that is a Level I Trauma Center, outpatient physical rehabilitation, minimally invasive robotic surgery and our childbirth unit (including a Level II neonatal intensive care unit).
This is a non-benefitted Casual/Per Diem position, working 12 hour shifts on variable days. Flexible availability is a must (weekends/holidays, etc). This position is located at Scripps Mercy San Diego in Hillcrest. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Join a winning team at Scripps Mercy Hospital San Diego supporting the Access & ED department as a Patient Service Specialist - ED. Working together, you'll bring your expertise, compassion, and excellence to all we do. The ideal candidate will thrive in a fast-paced environment and enjoy providing world class customer service.
As a Patient Service Specialist - ED, you will be responsible for:
* Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
* Receiving and routing messages received in the department appropriately as well as manages customer billing and payment inquires as needed.
* Effectively managing the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
* Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates.
* Accurately scheduling and re-scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation, and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors.
* Coordinating scheduling, meeting and travel planning needs, department communication as needed. May assist in gathering necessary reports, statistics, outcomes for the department as needed.
* Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.
* Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient.
Required Qualifications:
* Must be able to demonstrate proficiency of computer applications, excellent mathematical skills, and ability to handle monies.
* Excellent communication and customer service skills.
* Strong organizational and analytical skills; innovative with ability to identify and solve problems.
* Able to adapt, prioritize and meet deadlines.
Preferred Qualifications:
* 2 years of experience in a customer service or healthcare/medical office environment.
* Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.
Position Pay Range: $27.24-$35.88/hour
Patient Care Coordinator Arabic Speaking
Patient access representative job in San Diego, CA
Job Description
Empowering Wellness, Transforming Lives
Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.
As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.
Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.
A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!
Job Summary:
The official job title is Lead Care Manager (LCM).
The Lead Care Manager (LCM) role involves developing personalized care plans, coordinating member services, and collaborating closely with members and families, as well as Primary Care Providers to ensure they receive necessary medical treatment and support. The LCM will consult with members to determine their needs, develop individualized action plans, and work with care teams to manage the member experience effectively. Providing emotional support, resolving administrative issues, and ensuring timely access to care are key aspects of the position. Compassion, healthcare knowledge, and exceptional customer service are essential qualities for assisting members in becoming self-sufficient in health. The LCM will work with a diverse population of members enrolled in the Enhanced Care Management program, which may involve one or multiple members from the population of focus section below.
Responsibilities:
• Interview members to assess medical and social determinant of healthcare gaps and provide education about their condition and medication, while developing individualized care plans.
• Respond to member inquiries and concerns, ensuring adherence to hospital and legal requirements.
• Collaborate with interdisciplinary teams, locate medical and social resources, and coordinate social service plans.
• Maintain on-going contact with members, via telehealth and in-person visitation.
• Advocate for members, consult with healthcare providers, arrange appointments and treatment plans, evaluate member progress, and assist with healthcare barriers.
• Maintain empathy and professionalism while contacting members and families.
• Supporting behavioral health coordination, Substance Abuse and Community Resources.
• Perform additional duties as assigned.
Populations of Focus:
• Individuals experiencing homelessness: Lacking a fixed, regular, and adequate nighttime residence.
• Individuals at risk for avoidable hospital or emergency department utilization: Five or more emergency room visits in a six-month period that could have been avoided with appropriate outpatient care or improved treatment adherence.
• Individuals with Serious Mental Health and/ or substance use disorder needs: Adults who meet the eligibility criteria for participation in, or obtaining services through Specialist mental health services or the Drug Medi-Cal organized delivery system or Drug Medi-Cal program.
• Individuals transitioning from incarceration/Justice Involved: Adults transitioning from a correctional setting or transitioned from a correction setting within the past 12 months, or children and youth who are transitioning from a youth correctional facility or transitioned from being in a youth correctional facility within the past 12 months.
• Adults living in the community and at risk for long-term care institutionalization: Adults who are living in the community who meet the SNF Level of Care criteria; or who require lower-acuity skilled nursing or equipment for prevention, diagnosis, or treatment of acute illness or injury.
• Adult nursing facility residents transitioning to the community: Adult nursing residents who are interested in moving out of the institution, and are likely candidates to do so successfully, and are able to reside continuously in the community.
• Children and youth enrolled in California Children's Services (CCS) or CCS Whole Child Model (WCM) with Additional Needs Beyond the CCS condition: Children and youth enrolled in CCS or CCS WCM and are experiencing at least one complex social factor influencing their health.
• Children and Youth Involved in Child Welfare
• Individuals with Intellectual/ Developmental Disabilities: Adults who have a diagnosed I/ DD and qualify for eligibility in any other adult ECM population of focus.
• Pregnant and Postpartum individuals; Birth Equity Population of Focus: Adults and youth who are pregnant or postpartum and qualify for eligibility in any other adult or youth ECM POF, or are subject to racial and ethnic disparities.
Education and Experience:
• High school diploma or GED required.
• Minimum of 1 year experience in case management, member care, customer service, call center, or member care required.
• Valid California driver's license and valid vehicle insurance required.
• MA certificate or medical terminology knowledge preferred.
Required Skills/Abilities:
• Bilingual in English & Arabic Required
• Excellent communication, interpersonal, customer service and organizational skills.
• Computer skills for documentation, email and chat support.
• Proficient skills in working independently and collaboratively in a team to provide member care.
• Proficiency in multitasking, organization, and attention to detail is required for effectively providing care to multiple members simultaneously.
• Candidates should exhibit the capability to utilize resources effectively for problem-solving while maintaining composure under pressure in a compassionate manner.
• Applicants must demonstrate proficient speaking, reading, and typing abilities and possess strong proofreading skills.
Physical Requirements:
• Must be able to travel using personal vehicle to complete outreach visits. Mileage reimbursement for the use of your vehicle is at a standard rate.
• Prolonged periods of sitting at an office desk on the computer.
• Lifting: Able to lift up to 15lbs.
Pay range$25-$28 USD
Benefits
Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:
Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
Short & Long-Term Disability Benefits: Protection when you need it most.
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
Flexible Spending Accounts: Manage your finances with flexibility.
Employee Assistance Program (EAP): Support when life throws challenges your way.
401(K): Building your financial future with us. Effective after 1 year of employment.
Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
Paid Holidays: Quality time to enjoy celebrations.
Employee Referral Program: Share the opportunities and reap the rewards.
Company Discount Program: Enjoy savings on everyday expenses and memberships.
Equal Employment Opportunity
Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.
Pre-Employment
Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.
Patient Access Specialist
Patient access representative job in Temecula, CA
This job description is to summarize the major duties and responsibilities performed in this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.
Patient Access Specialist is responsible for booking patients' visits. This process includes greeting, identifying the needs of the patient, and scheduling an appropriate visit. Patient Access Specialist should help ensure the booking of an appointment is as pleasant an experience as possible.
Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Greet patients with a warm salutation and conversation with congenial closing.
Consistently and accurately collect the patient's personal and insurance information, including any necessary updates.
Run patient insurance eligibility.
Review provider schedules to ensure correct placement of appointments.
Follow triage protocol as needed.
Work cooperatively with others, including appropriate communication with patients, providers, support staff and administration.
Route calls to appropriate departments when applicable utilizing a warm handoff.
Attempt to answer questions prior to forwarding the patient's question/concern via message.
Send appropriate inbox messages for med refills, form status, lab results, patient questions when applicable. Include all relevant information in the message.
Communicate patient results when they are available and have been reviewed by the provider.
Reschedule patients as needed due to scheduling conflicts.
Encourage and help patients with MyChart set up.
Comply with all company policies and procedures found in the employee handbook.
Perform other duties and tasks as assigned by leadership.
Required education and experience: The requirements listed below are representative of the knowledge, skills, and/or ability required.
Minimum Education required:
High school graduate or equivalent preferred.
Minimum Experience Required:
Customer Service Experience: A minimum of 1-2 years of experience in customer service, preferably in a healthcare or call center environment.
Healthcare Knowledge: Previous experience in a medical office, clinic, or healthcare-related call center is preferred but not required.
Multitasking Skills: Demonstrated ability to handle high call volumes while maintaining accuracy and a positive attitude.
Communication Skills: Strong verbal and written communication skills, with the ability to manage sensitive and confidential information professionally.
Minimum Knowledge and Skills Required:
Bilingual Spanish is preferred.
Ability to communicate effectively and congenially with patients and staff members in person and over the phone.
Ability to exercise tact, initiative, and good judgement when interacting with patients and staff members.
Basic office skills such as typing, transferring calls, etc.
Organizational and problem-solving skills.
Ability to work on the computer for long stretches of time.
Ability to navigate and accurately input within the EMR system.
Ability to accept supervision and feedback.
Benefits at a Glance:
We offer a comprehensive benefits package designed to support your health, family, financial security, and work-life balance. This includes wellness coverage (medical, dental, vision), life and disability options (life, AD&D, voluntary plans), flexible spending accounts (healthcare and dependent care), retirement savings with a 401(k) match, employee referral bonuses, and generous time off including paid holidays. Employees also have access to an Employee Assistance Program to support overall well-being.
Travel Percentage: 1-5%
Work Authorization: Must be authorized to work in the United States.
Must be available Mon - Fri (8 am - 5 pm)
Care Coordinator Cancer Screening
Patient access representative job in Chula Vista, CA
Job title
Care Coordinator - Accelerated Cancer Screening
Reports to
Health Navigator Supervisor, Medical Director
Status
Full-Time (1 Year Grant Funded Position)
Salary
$22.00 - $24.00
OPSAM HEALTH MISSION
We exist to provide quality and patient-centered healthcare to every member of the communities we serve, regardless of the ability to pay.
OPSAM Health is a Federally Qualified Health Center (FQHC) that serves the San Diego County community. Founded in 1973 in a barber shop in Downtown San Diego by Filipino health professionals offering services to immigrants who did not have the finances, linguistic skills, or ability to navigate the health care system. Today, Operation Samahan has evolved into a diverse community health center with services available in National City, Mira Mesa, City Heights, and Rancho Penasquitos. We provide primary care, dental, behavioral health, family planning, integrative health and wellness, healthy eating, civic engagement, and other health-related services to the uninsured, underinsured, and underserved families of all income levels, regardless of their ability to pay.
JOB PURPOSE
The Care Coordinator - Accelerated Cancer Screening will focus on closing cancer screening care gaps for Opsam Health patients, ensuring timely follow-up for abnormal breast, cervical, and colorectal screenings. They will collaborate with clinical teams to guide patients through each step of the screening and follow-up process, addressing any barriers to care. This role includes managing referrals, coordinating with external providers, and auditing patient records to ensure quality care. Additionally, the coordinator will work with the Quality Improvement team to enhance educational and training efforts related to cancer screening's
ESSENTIAL DUTIES AND RESPONSIBILITIES
Responsible for reducing cancer screening care gaps for Opsam Health patients
Oversee clinic care coordinator's daily huddle regarding cancer prevention screening efforts
Support to clinicians to navigate patients through each step in the process of any abnormal breast, cervical and colorectal cancer screening results, assisting patients in accessing recommended follow-up care, including additional imaging, tests and appointments at tertiary care centers
Ensure proper communication with patients, clinical staff, providers, lab and imaging partners to assure the patients' timely and appropriate care
Audit chart records in eClinicalWorks for cancer screening and follow up reports
Assist patients with referrals related to breast, cervical and colorectal abnormalities
Schedule appointments/ referrals with appropriate provider(s) for cervical, breast and colon cancer screening diagnosis, and treatment, including contacting and reminding patients to schedule appointments, anticipatory guidance about expected tests and procedures, and navigate on how to arrive at scheduled appointments on time and prepared
Request medical records from outside care providers and upload to ensure accurate and complete medical record
Consider and strategically address the “social determinants of health” which may be delay or otherwise interfere with timely and appropriate follow-up services
Collaborate with QI Team in the planning and implementation of educational, training and quality improvement efforts for cancer screening
Coordinate all newly diagnosed cancer to oncology specialists (such as Moore's Cancer Center) to ensure timely evaluation and management
Other duties assigned as needed
Qualifications
Medical Assistant, Bachelor's degree in healthcare field or High School Diploma with at least 2 years of clinical care coordination experience.
Knowledge of medical terminologies
Experience working in a large clinic setting
Experience working with Health Insurance plans
Knowledge of scheduling medical appointments and prior authorization processes.
Experience with electronic medical records
Excellent ability to communicate both orally and in writing.
Demonstrated knowledge and advanced level skill in word processing software applications (Word, Excel, Teams, Outlook, & PowerPoint)
Ability to interact well with care teams and all patients and families.
Excellent customer service skills.
Auto-ApplyStandardized Patient
Patient access representative job in San Diego, CA
Strategic Operations Inc. (STOPS) provides training services and products to the military, law enforcement, first responders, medical providers, and other organizations responsible for homeland security. The company employs state-of-the-art Hollywood special effects pyrotechnics, special effects make-up (wound effects), role players , subject matter experts, instructors, and training scenarios to create training environments that are the most unique in the industry. STOPS also manufactures modular, mobile building systems (relocatable habitat units (RHUs)), props, faux weapons, and live fire targets and constructs, enhances, and transforms training facilities throughout the United States and Canada. STOPS is actively looking to employ individuals, on a part-time/on-call basis, in the support of live action training.
Summary
A Standardized Patient (SP) is a specialized role player, a person who can accurately and consistently recreate the history, personality, physical finding, emotional structure, and response patterns of an actual patient. The SP participates in the teaching and assessment of undergraduate medical students, medical residents, nurses, and allied health care professionals ( learners ) during Medical Simulation training. The SP is a person, age 18 or greater, trained to act out the role of a patient, family member, or other individual to allow “learners” to practice physical exams (non-invasive), history taking skills, communications skills, and other important clinical skills required by Healthcare Providers. The SP must be able to accurately portray a specific scenario for which the learners will perform a brief interview and/or a focused medical case. An SP may also be required to provide constructive feedback regarding the learner's performance.
Job Duties
Specific duties will take place at Naval Medical Center San Diego (Balboa Hospital), the STOPS Tactical Training Laboratory in San Diego, CA, or another location at the direction of the client. Individuals must be able to follow the direction of the Lead Evaluator/Instructor during training scenarios.
The SP will present scenarios in a standardized manner, as instructed by the Lead Evaluator/Instructor and/or as elicited by the learner during simulated interactive patient history and/or a medical case.
The SP will remain in a specific “character” when responding to the learner's questions.
The SP must accurately remember encounters with learners for the purpose of providing feedback on learner performance.
The SP may be recorded or videotaped during the simulation.
The SP must respect the privacy of the learners and hold in confidence all information obtained during a scenario/case.
The SP will perform miscellaneous job-related duties as assigned.
The SP may from time to time be required to perform the duties of a general or casualty actor/role player.
Knowledge, Skills, & Abilities Required
Ability to play a required role and act convincingly while maintaining the specified character - through body language, emotions, personality, and physical findings.
Ability to understand, follow directions, and provide feedback - after action report.
Ability to recall and accurately relay learner's performance to the Lead Evaluator/Instructor.
The individual must have a professional demeanor.
Must enjoy working with people and understand the importance of the position.
Qualifications
The ability to, read, write, and speak English is required.
Prior role-playing experience with military, law enforcement, and first responders/medical providers is preferred, but not necessary.
SPs are assigned based on experience and specific demographic requirements.
Extensive experience is not necessary, perspective individuals will be training on the various components of working as an SP.
Auto-ApplyBilingual Patient Financial Advocate
Patient access representative job in Oceanside, CA
Hours: Tuesday-Saturday 10am-630pm
Pay Range: $19 - $21 hourly
Must be bilingual with English and Spanish
Join our team and make a difference!
The Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. This includes providing information and reports to client contact(s), keeping them current on our progress.
Essential Duties and Responsibilities:
Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs.
Initiate the application process bedside when possible.
Identifies specific patient needs and assist them with an enrollment application to the appropriate agency for assistance.
Introduces the patients to Firstsource services and informs them that we will be contacting them on a regular basis about their progress.
Provides transition, as applicable, for the backend Patient Advocate Specialist to develop a positive relationship with the patient.
Records all patient information on the designated in-house screening sheet.
Document the results of the screening in the onsite tracking tool and hospital computer system.
Identifies out-patient/ER accounts from the census or applicable referral method that are designated as self-pay.
Reviews system for available information for each outpatient account identified as self-pay.
Face to face screen patients on site as able. Attempts to reach patient by telephone if unable to screen face to face.
Document out-patient/ER accounts when accepted in the hospital system and on-site tracking tool.
Outside field work as required to include Patient home visits to screen for eligibility of State, County, and Federal programs.
Other Duties as assigned or required by client contract
Additional Duties and Responsibilities:
Maintain a positive working relationship with the hospital staff of all levels and departments.
Report any important occurrences to management as soon as possible (dramatic change in the number or type of referrals, etc.)
Access information for the Patient Advocate Specialist as needed (discharge dates, balances, itemized statements, medical records, etc.).
Keep an accurate log of accounts referred each day.
Meet specified goals and objectives as assigned by management on a regular basis.
Maintain confidentiality of account information at all times.
Maintain a neat and orderly workstation.
Adhere to prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.
Maintain awareness of and actively participate in the Corporate Compliance Program.
Educational/Vocational/Previous Experience Recommendations:
High School Diploma or equivalent required.
1 - 3 years' experience of medical coding, medical billing, eligibility (hospital or government) or other pertinent medical experience is preferred.
Previous customer service experience preferred.
Must have basic computer skills.
Working Conditions:
Must be able to walk, sit, and stand for extended periods of time.
Dress code and other policies may be different at each healthcare facility.
Working on holidays or odd hours may be required at times.
Benefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off
We are an equal opportunity employer that does not discriminate based on age (40 & over), race, color, religion, sex, national origin, protected veteran status, disability, sexual orientation, gender identity or any other protected class in accordance with applicable laws.
Firstsource Solutions USA, LLC
Admissions Clerk-25270612
Patient access representative job in San Diego, CA
ADMISSIONS CLERK IS ELIGIBLE FOR APPOINTMENT AT STEP 1, $42,348.80 ANNUALLY. County employees are subject to the County Promotion Rule for Step Placement in Accordance with Compensation Ordinance 1.3.5.
For Inpatient Health Services and Public Health Services departments:
Interviews will take place week of January 12, 2026.
Job offers will be made beginning week of January 19, 2026..
As an Admissions Clerk, you will perform intake and administrative functions for persons receiving services. This position will interact with a variety of individuals representing diverse cultures and backgrounds.
Admissions Clerk positions are found at various locations including the San Diego County Psychiatric Hospital (SDCPH), Public Health Services -Tuberculosis & Refugee Health Branch and HIV, STD, and the Edgemoor Distinct Part Skilled Nursing Facility.
The current vacancy is with Inpatient Health Services and with Public Health Services; however the eligible list may also be used to fill future vacancies in other Departments within the Health and Human Services Agency (HHSA).
Qualifying Experience:
One (1) year of experience performing admissions or related clerical duties in a hospital, clinic, institution, or closely related work environment.
Please click here for a complete job description, including examples of duties, qualifying experience, working conditions.
NOTE: Depending upon assignment and work location, incumbents may be required to work a variety of shifts including days, nights, weekends and holidays
Interviews and Hiring Process:
The timeline for this recruitment is outlined below. Please note that dates are approximate and are dependent upon the successful completion of each step of the process.
* Job Offer and Background Process begins: Week of January 19, 2026.
* Pre-employment Medical Screening: Approximately 3 days following successful background investigation results.
* Anticipated Start Date: Start date will be based upon successful completion of background or other mutually agreed upon date.
If you are not selected for this interview process, you may have the opportunity to compete for future vacancies.
The Department of Human Resources removes personally identifiable information from all recruitments. This practice, called Blind Applicant Screening, hides a candidate's personal information that could influence or bias a hiring decision. Personal information includes name, phone number, address, gender, age and race. This process helps contribute to a fair and equitable selection process leading to a more diverse and inclusive workforce.
The most highly qualified candidates, based on the evaluation results, will be referred for an interview. Be sure to include your experience in meeting the minimum requirements in both the Work Experience section and the Supplemental Questionnaire section of the Application.
Resumes will not be accepted in lieu of the application Work History and/or supplemental questionnaire.
Condition of Employment:
As part of the County of San Diego's pre-employment process, prospective candidates will undergo a background check (including fingerprinting) and a pre-employment medical screening prior to beginning County employment. Additional types of background investigations may be conducted based on the job-related activities of the position. Note: Current County employees may be excluded from additional background screening.
Ideal Candidate:
The ideal candidate will demonstrate proficient use of computer systems and have prior experience in a health care setting. Excellent customer service skills, including face-to-face interactions, and ability to navigate difficult situations involving customers of diverse socio-cultural backgrounds is highly desirable.
Evaluation:
Qualified applicants will be placed on a six (6) month eligible list based on scores received during the evaluation of information provided on the employment application and supplemental questionnaire. Please ensure all information is complete and accurate as the responses you provide on the supplemental application form will be reviewed using an automated evaluation system. If you are successful in the initial screening process your application will be reviewed individually to confirm that the information you provided is accurate and qualifying.
Note: Reasonable accommodation may be made to enable a qualified individual with a disability to perform the essential functions of a job, on a case-by-case basis.
As an employer of over 19,000 employees, the County of San Diego is an organization committed to veteran hiring, retention, and professional development. We recognize the contributions and sacrifices made by our veterans and value the unique expertise and leadership qualities they bring to our workforce. We strive to provide veterans with the resources and tools necessary to maximize their employment opportunities, and to assist veterans with their transition into civilian life by applying the valuable skills, knowledge and training acquired in service to positions and career paths at all levels within our large organization. Click on the resource links below to learn more about how the County of San Diego supports its veterans.
Veteran's Preference Policy The County of San Diego offers preferential credits for military service to assist qualified applicants in transitioning from military to civilian careers with the County of San Diego.
Military Skills Translator Do you need assistance translating your military experience into civilian experience? This tool can help!
The County of San Diego and its employees embrace the vision of a just, sustainable, and resilient future for all. Our values include integrity, equity, access, belonging, excellence, and sustainability. Each of which are infused throughout our operations. While also embracing a mission of strengthening our communities with innovative, inclusive, and data driven services through a skilled and supported workforce. Click here for more information on our Strategic Plan (sandiegocounty.gov).
Under California Government Code Sections 3100 - 3109, public employees are designated as disaster service workers. The term "public employees" includes all persons employed by the state or any county, city, state agency, or public district. Disaster service workers are required to participate in such disaster service activities as may be assigned to them by their employer or by law.
The County of San Diego is committed to valuing diversity and practicing inclusion because our diverse workforce is our greatest asset, and our customers are our number one priority.
Registrar
Patient access representative job in Temecula, CA
Summary: Responsible for the accuracy, security, maintenance, confidentiality, and integrity of physical and electronic student records. The Registrar will frequently interact with staff, students, and external parties regarding student records content. In addition, the Registrar is responsible for observing and monitoring school and proper adhere to all reporting guidelines. Essential Duties and Responsibilities:
Create and maintain student files in accordance with California laws and regulations
Track receipt of student records and follow up with prior schools to obtain any missing documents
Receive incoming student records and add to student files
Receive requests for records for withdrawn students and prepare and send student files
Upon receipt of records enter any needed student information into the Student Information System (SIS)
Act as point of contact for all requests for student information from schools and county agencies, and collaborate with administrative team to prepare any information needed to respond to such requests
Ensure completion of withdraw forms and process of student withdraws daily in the school Student Information System (SIS)
Track new enrollment approvals and inform school stakeholders of student start dates
Establish and maintain a positive rapport with, students, parents, staff, school administration, and other stakeholders
Maintain confidentiality concerning all student information and any professional matters
Utilize effective time management
Assist when needed with the SLE's.
Checking the transcript and the student enrollment documents to determine that:
Each student has an official transcript for grades transferred in
Transcripts have appropriate progression plans, signatures, and seals
All grades and courses are posted and up to date
Complying with procedures for the requesting and retrieval of grades for transfer students, the recording of these grades, and the distribution of grades to all appropriate school personnel involved in the data flow process
Communicate with parents as needed, which includes but is not limited to:
Calling students and parents
Emailing and texting students and parents
Meeting students and parents in virtual setting
Returning all communication ASAP but no longer than 24 hours later
Communicate with teachers and administration as needed, which includes but is not limited to:
Calling and/or emailing teachers as needed
Returning phone calls/e-mails ASAP but no longer than 24 hours later
Attending all in-person meetings as scheduled
Attending all staff meetings; attending and participating in all school trainings and meetings.
Other duties as assigned.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Must have experience in data entry into student database, knowledge of Family Educational Rights & Privacy Act Regulations, Knowledge of National, and State Regulations as well as Accreditation Policies and Procedures and general office procedures. This position requires the ability to communicate effectively at all levels of the organization. Effective interaction across departmental boundaries must be maintained. Education and/or Experience:
Ability to work comfortably with people.
Self-starter.
Able to work on their own with little director.
High School Diploma or equivalent required; one-year experience with operations in a registrar's office; or equivalent combination of education and experience.
Equipment Used:
Computers, phone, fax machine, xerox machine.
Job Type: Full-time Benefits:
401(k)
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance
Work Location: In person
Dental Biller
Patient access representative job in San Diego, CA
As a Dental Biller, your primary responsibility is to manage the financial aspects of a dental office or practice. You will work closely with patients, insurance companies, and other administrative staff to ensure accurate and timely billing and payment processing. Your role involves understanding dental insurance policies, coding procedures, and billing regulations to facilitate smooth financial operations within the practice. Attention to detail, strong organizational skills, and excellent communication abilities are essential for success in this role.
Schedule (days/hours)
M,Th,Fri 8-5, Tu,Wed 8:30-5:30pm
Responsibilities
* Insurance Verification: Verify patients' insurance coverage and eligibility prior to appointments. Ensure accurate information is obtained and recorded in the billing system.
* Billing and Coding: Assign appropriate billing codes to dental procedures performed using the standardized coding system (e.g., CDT codes). Ensure adherence to coding guidelines to prevent errors and maximize reimbursement.
* Claims Submission: Prepare and submit insurance claims electronically or through paper submission. Monitor claim status and follow up on any rejections or denials. Make necessary corrections and resubmit claims promptly.
* Payment Processing: Receive and process payments from patients and insurance companies. Post payments accurately to patient accounts and reconcile any discrepancies.
* Patient Billing: Generate and send out patient statements for outstanding balances. Assist patients with understanding their bills, explaining insurance coverage, and setting up payment plans if necessary.
* Appeals and Denials Management: Handle insurance claim denials and appeals. Investigate reasons for denials, gather supporting documentation, and resubmit claims with additional information as needed.
* Record Maintenance: Maintain organized and up-to-date billing records, including patient demographics, insurance information, and billing history. Ensure confidentiality and compliance with HIPAA regulations.
* Communication: Liaise with patients, insurance companies, and other healthcare providers to resolve billing inquiries and disputes promptly. Provide excellent customer service and address concerns professionally.
* Revenue Cycle Management: Assist in optimizing the revenue cycle by identifying opportunities for process improvements, reducing claim rejections, and accelerating payment collection.
Qualifications
* Previous experience in dental billing, medical billing, or healthcare administration strongly preferred.
* Proficiency in dental coding systems (e.g., CDT codes) and billing software applications.
* Strong understanding of insurance policies, reimbursement processes, and claim submission procedures.
* Excellent communication skills, both verbal and written, with the ability to interact effectively with patients, insurance companies, and colleagues.
* Detail-oriented with strong analytical and problem-solving abilities.
* Ability to prioritize tasks, manage time efficiently, and work independently or as part of a team.
* Knowledge of HIPAA regulations and commitment to maintaining patient confidentiality and data security.
* DENTAL ONLY
* NOT REMOTE
Compensation
$20-$25 / HR
About Us
Benefits are determined by employment status/hours worked and include paid time off ("PTO"), health, dental, vision, health savings account, telemedicine, flexible spending accounts, life insurance, disability insurance, employee discount programs, pet insurance, and a 401k plan.
Smile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone! Smiles for patients, providers, employees, and community partners. Everyone. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.
Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at ***********************
Auto-ApplyMedical Billing Representative
Patient access representative job in San Diego, CA
Job Description
The Medical Billing Representative will be responsible for miscellaneous daily functions in the medical billing office. Reliability with high attention to detail and organizational skills is needed for this position. The ideal candidate is someone who takes pride in their everyday tasks, can function effectively as part of a team, as well as being able to work independently.
PRIMARY DUTIES AND RESPONSIBILITIES: The primary job functions required of our Medical Billing Representative includes the following, but not limited to:
Thorough appropriate account review on billed claims, contact third-party payors for status and resolution
Requests additional information from physician offices, patients, and others as needed to resolve payor requests
Identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
Updates patient demographics as needed and correct plan IDs
Posts appropriate follow-up notes/status to accounts
Written appeals and corrections to third-party payors as needed
Recognizes repetitive errors and delays with payors and escalates payment delays/ problems accounts timely to manager
Perform collection efforts on delinquent patient accounts
Perform special projects and other duties as needed
Ensures compliance with State and Federal Laws Regulations
Maintain the strictest confidentiality; adhere to all HIPAA guidelines/regulations
OTHER MISCELLANEOUS AND RELATED TASKS
Assist other Billing Representatives and Management with a variety of other daily tasks
Respond to email, EHR messages/tasks throughout the day
Be a team player: Identify how you might assist fellow team members
Always represent SDCC and its staff and Providers in a professional, courteous, and respectful manner on or off the property
CORE COMPENTENCIES AND EXPECTATIONS: A successful Medical Billing Representative will possess the necessary core competencies and meet the general expectations, such as:
Thorough understanding of the revenue cycle process for physician billing
Possess intermediate skills in Microsoft Office (Word, Excel)
Ability to learn billing systems
Ability to communicate in a clear and professional manner
Must possess good oral and written skills
Strong interpersonal skills
Ability to make sound decisions
Familiar with terms such as HMO, PPO, IPA and Capitation
Understanding/ability to read an EOB
Intermediate understanding of HCFA 1500 forms.
Ability to problem solve, prioritize duties and follow through completely with assigned tasks.
POSITION REQUIREMENTS
2-3 years of medical claims and/or collections experience
Cardiology experience preferred
POSITION SPECIFICS
Full time
Monday-Friday
7:30 am to 4:30 pm
Front Office Coordinator Bilingual (Spanish)
Patient access representative job in San Diego, CA
All Care Therapies is currently seeking a Front Office Coordinator to join our dynamic Outpatient Physical Therapy clinics! This is an exciting opportunity to join an evolving team, serving our community since 2009. As a leader in the rehabilitative care industry, we strive to continually bring solutions to address the evolving challenges of therapy providers. Offering a fun atmosphere of growth and a team dedicated to serving all people from all walks of life.
Job Description
The
Front Office Coordinator
will provide general office support with various clerical activities and related tasks, including but not limited to:
Receiving and answering emails, telephone calls, and mail for the facility.
Scheduling appointments for patients and clinicians.
Guiding staff and patients through admissions and correct medical administrative protocols, requesting authorizations for new cases.
Checking and verifying information on patient medical records.
Coordinating admissions and discharge of patients.
Consulting with clinicians about patients' medical records.
Ensuring that forms and documents are correctly filled in.
Handling complaints and queries professionally.
Provide occasional translation to caregivers and staff
We set standard base pay ranges for all roles based on function and level. Final offer is determined by multiple factors including, skillset, work experience and languages, and may vary from the amounts listed below.
The pay range for this position is:
$18 - $19/hr
Qualifications
Excellent customer services skills
Strong verbal and written communications skills
Must be detail-orientated and have thorough follow-up skills
Knowledgeable with all Microsoft Word, Excel, Outlook, etc. and ability to learn other soft
******MUST BE BILINGUAL (Spanish/English) ****
Office location:
8929 Aero Dr, Suite E, San Diego, CA 92123
Hours: Monday-Friday 8:00AM-5:00PM
Additional Information
All your information will be kept confidential according to EEO guidelines.
All Care Therapies is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
ASSURE Patient Specialist - Escondido, CA (Per Diem/On Call)
Patient access representative job in Escondido, CA
The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra's solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life.
The ASSURE Patient Specialist (APS) conducts patient fitting activities in support of the sales organization and the team of Regional Clinical Advisors (RCA). The APS will serve as the local patient care representative to provide effective and efficient patient fittings.
We have an opening in Escondido, CA
This is a paid per fitting position.
ESSENTIAL DUTIES
* Act as a contractor ASSURE Patient Specialist (APS) to fit and train local patients with a wearable defibrillator via training assignments dispatched from corporate headquarters. The APS will be trained and Certified as an ASSURE Patient Specialist by Kestra.
* Ability to provide instruction and instill confidence in Assure patients with demonstrated patient care skills
* Willingness to contact prescribers, caregivers and patients to schedule services
* Ability to accept an assignment that could include daytime, evening, and weekend hours
* Travel to hospitals, patient's homes and other healthcare facilities to provide fitting services
* Measure the patient to determine the correct garment size
* Review and transmit essential paperwork with the patient to receive the Assure garment and services
* Manage inventory of the Assure system kits, garments, and electronic equipment used in fittings
* Flexibility of work schedule and competitive pay provided
* Adhere to Pledge of Confidentiality
* Information regarding a patient of this company shall not be released to any source outside of this company without the signed permission of the patient. Furthermore, information will only be released internally on a need-to-know basis. All Team Members will not discuss patient cases outside the office or with anyone not employed by this company unless they are directly involved with the patient's case.
COMPETENCIES
* Passion: Contagious excitement about the company - sense of urgency. Commitment to continuous improvement.
* Integrity: Commitment, accountability, and dedication to the highest ethical standards.
* Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service.
* Action/Results: High energy, decisive planning, timely execution.
* Innovation: Generation of new ideas from original thinking.
* Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind.
* Emotional Intelligence: Recognizes, understands, manages one's own emotions and is able to influence others. A critical skill for pressure situations.
* Highly organized, service and detail orientated
* Passionate about the heart-failure space and a strong desire to make a difference
* Strong interpersonal skills with communicating and assisting clinicians with providing care for patients.
* Interest and desire for life-long learning to continuously improve over time.
Check Out Biller
Patient access representative job in San Diego, CA
Borrego Health provides high quality, efficient customer focused health care to the communities we serve, accomplished by providing access to patient centered comprehensive care to all residents regardless of their ability to pay. Job Description
Under the supervision of the Billing Manager the Check-Out Biller's primary responsibilities are to conduct pre-visit verifications for patient visit eligibility, apply patient visit payments, review billing encounter information for the correct application of insurance or patient eligible payment program, and review the selected visit coding as it applies to meeting billing requirements. Work with clinic management and Billing Administration for the completion of accurate encounter entry for timely submission of encounter data for claims processing. Schedule Follow-Up appointments, complete daily report requirements, assist patients, team members, clinical staff and other Borrego Health employees as needed as it pertains to the accurate management of claim data and the patient encounter.
Qualifications
High school diploma or GED.
CPC (Certified Professional Coder) certification or apprenticeship, preferred.
A current and valid CPR & First Aide ‘American Heart Association' certification
Valid Driver's License.
Additional Information
Learn more about us and view our current openings please visit our web-site at ******************************
Competitive Salary and excellent benefits
Please apply by clicking the link below.
You may also fax resumes- HR Department
Borrego Health
PO Box 2369
Borrego Springs, CA 92004
Fax: ************
Borrego Health is an Equal Opportunity Employer
Bilingual Patient Access Representative Level 2
Patient access representative job in San Diego, CA
Company is the region's pediatric medical center serving San Diego, Imperial and southern Riverside counties. We are: •The largest children's hospital in California (based on admissions)
•The sixth largest children's hospital in the country
•The only hospital in the San Diego area dedicated exclusively to pediatric healthcare
•The region's only designated pediatric trauma center
•Provider of care to 88 percent of the region's children
•Provider of care to 196,905 children (in fiscal year 2014)
Our outstanding team includes more than 730 physicians and more than 1,200 nurses, more than 3,900 employees, more than 500 active volunteers, and more than 1,200 Auxiliary members.
Job Description
Candidate will work in the Perinatology Department, performing scheduling and insurance verifications.
Patient Access Representative III secures and provides appropriate information to patient families and funding sources to register, schedule and/or obtain authorizations for inpatient, outpatient, and/or diagnostic services.
Minimum Education/Qualifications/Licensures: (No JUMPY candidates!)
Bilingual Spanish
High School Diploma or equivalent
Minimum of 2 yr work experience in health care setting
Insurance Verification Experience
Healthcare Scheduling Experience
Qualifications
High School Diploma or GED
Bilingual (Spanish)
2 years of healthcare experience
Must be proficient with computers (using the internet, Microsoft Office Applications)
Excellent customer service skills
AND they must have at least one of the following:
Scheduling Experience
Inbound call center experience
Medical Insurance authorizations experience
Additional Information
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm
Patient Service Specialist - ED - Encinitas
Patient access representative job in Encinitas, CA
Scripps Memorial Hospital Encinitas has served North County's coastal communities since 1978. We're located at Santa Fe Drive and I-5, within walking distance of a park, fitness center, grocery store, pharmacy and restaurants. Scripps Memorial Hospital Encinitas' campus includes Scripps Clinic Encinitas and an outpatient imaging center. We're home to notable specialty programs including a 24-hour emergency room, accredited stroke care, physical rehabilitation services (including a brain injury day treatment program), our Baby Friendly birthing pavilion and a Level II neonatal intensive care unit.
This is a benefitted Part Time position (48 hours per pay period) with a varied schedule (12 hour shifts; includes some weekends and holidays), located at our Scripps Memorial Hospital Encinitas. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
* Nearly a quarter of our employees have been with Scripps Health for over 10 years.
* Scripps is a Great Place to Work Certified company for 2025.
* Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
* Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
* We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
* Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a caring team supporting Scripps Memorial Hospital Encinitas as a Patient Service Specialist - ED in the Access Services/ED department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following:
* Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
* Receiving and routing messages received in the department appropriately as well as manages customer billing and payment inquires as needed.
* Effectively managing the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
* Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates.
* Accurately scheduling and re-scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation, and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors.
* Coordinating scheduling, meeting and travel planning needs, department communication as needed. May assist in gathering necessary reports, statistics, outcomes for the department as needed.
* Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.
* Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient.
Required Qualifications:
* Must be able to demonstrate proficiency of computer applications, excellent mathematical skills, and ability to handle monies.
* Excellent communication and customer service skills.
* Strong organizational and analytical skills; innovative with ability to identify and solve problems.
* Able to adapt, prioritize and meet deadlines.
Preferred Qualifications:
* 2 years of experience in a customer service or healthcare/medical office environment.
* Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.
Position Pay Range: $27.24-$35.88/hour
Registration Coordinator
Patient access representative job in Murrieta, CA
The intent of this job description is to provide a summary of the major duties and responsibilities performed in this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.
The Registration Coordinator oversees the efficient progression of patients through a predetermined schedule of appointments. This involves greeting patients, verifying insurance, completing necessary paperwork, and addressing any inquiries. The primary goal of registration is to enhance the check-in/out experience for patients, making it as pleasant and streamlined as possible.
Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must warmly welcome patients and visitors to the office by greeting and acknowledging them upon entrance.
Answer and direct multiple phone lines in a timely manner, including checking voicemails throughout the day.
Processes patient payments correctly via either credit card or by cash and balance cash drawer daily.
Schedule, reschedule and confirm patient appointments.
Work within multiple websites to verify insurances for patient appointments.
Assist with patients checking out after appointment with provider, scheduled follow-up appointments, hand out any paperwork that the patient needs such as labs, orders, etc.
Manage assigned task lists.
Work as a team with other co-workers to complete tasks.
Updates and/or verifies all demographics and necessary paperwork before a patient is seen.
Endeavors to keep patients on schedule and communicates with the back-office regarding delays.
Assists ill or distraught patients as necessary.
Troubleshoots problems or requests of patients.
Maintains reception area and waiting room area in a neat and orderly condition.
Work cooperatively with others, including appropriate communication with patients, providers, support staff and administration.
Any other duties or responsibilities the front office staff may be assigned.
Required education and experience: The requirements listed below are representative of the knowledge, skills, and/or ability required.
Minimum Education required:
High school graduate or equivalent (GED).
Minimum Experience Required:
Successful completion of a medical front office program or on the job training with an emphasis on customer service.
Minimum Knowledge and Skills Required:
Bilingual Spanish is preferred.
Ability to communicate effectively and congenially with patients and staff members in person and over the phone.
Ability to exercise tact, initiative, and good judgement when interacting with patients and staff members.
Basic office skills such as typing, transferring calls, faxing, etc.
Organizational and problem-solving skills.
Ability to work on the computer for long stretches of time.
Ability to navigate and accurately input within the EMR system.
Ability to accept supervision and feedback.
Benefits at a Glance:
We offer a comprehensive benefits package designed to support your health, family, financial security, and work-life balance. This includes wellness coverage (medical, dental, vision), life and disability options (life, AD&D, voluntary plans), flexible spending accounts (healthcare and dependent care), retirement savings with a 401(k) match, employee referral bonuses, and generous time off including paid holidays. Employees also have access to an Employee Assistance Program to support overall well-being.
Locations may vary depending on where the need is for coverage.
Travel: Employees must be willing to float to various locations within their county, as needed for shift coverage or training purposes.
Travel Percentage: 10-30%
Work Authorization: Must be authorized to work in the United States.
Must be available M-F (7am - 7pm)