20 Best Health Information & Records Occupations jobs in Alhambra, CA (Hiring Now!)

Provider Network Specialist
Medica Talent Group —Montebello, CA
Primary responsibilities include processing ALL new contracts, provider additions, updates/changes, and terminations for primary care physicians, specialists,…
$33 - $37 an hour
Quick Apply
Medical Scribe - West Los Angeles, CA
ScribeAmerica —Los Angeles, CA
Review past history and test results on patients which are critical in driving medical decisions by your provider. Commit to ScribeAmerica for up to 1 year.
$16.90 an hour
12d
Dental Front Office Coordinator/Insurance Biller
Joseph Goodman DDS —Beverly Hills, CA
We are a patient centered practice and are looking for an experienced person who knows all facets of a dental front desk, loves working with people, and enjoys…
$30 - $35 an hour
Quick Apply
HEALTH RECORD TECHNICIAN I
Department of State Hospitals —Los Angeles County, CA
Maintain assigned filing areas in correct filing order for easy retrieval and access of health records. Chart Maintenance: Label, repair and arrange.
$4,309 - $4,850 a month
4d
Billing Supervisor
TOWER UROLOGY —Los Angeles, CA
Certification in Medical Billing or related field preferred. Post payments accurately and promptly. The ideal candidate will have a strong background in medical…
From $75,000 a year
Quick Apply
1d
Clinical Informaticist (flex-hybrid)
UCLA Health —Los Angeles, CA
Bachelor's degree in information technology, healthcare IT, or similar field. With patient safety and quality of care as a main priority, the informaticist will…
$140,000 - $160,000 a year
4d
Medical Records Manager
Valley View Post Acute —El Monte, CA
The primary purpose of your job position is to maintain resident medical records and health information systems in accordance with current federal and state…
Estimated: $61.3K - $77.6K a year
Patient Information Clerk
St. Francis Medical Center —Lynwood, CA
This position is responsible for greeting and assisting all patients, visitors, associates, volunteers, and physicians. High School Diploma or equivalent.
Skilled Nursing Facility Biller
Pasadena Nursing Center —Pasadena, CA
The Biller manages the billing functions in an accurate and timely manner while complying with federal, state, and local requirements that govern the facility…
$50,000 - $80,000 a year
Quick Apply
1d
Medical Lien Negotiator
Orthopedic Clinic —Los Angeles, CA
Bachelor’s degree in a related field. Assist in the development and implementation of negotiation strategies and best practices.
$25 - $35 an hour
Quick Apply
3d
Certified Coder I (Remote: CO, NV, PA, UT, WA, TX, OK or MO)
PIH HEALTH —Whittier, CA
Demonstrate complete technical knowledge of ICD10 CM coding as well and CPT and HCPCS procedural coding. Current Certified Coding Specialist (CCS) or Certified…
$21.60 - $32.40 an hour
Health Info Coder II
UCLA Health —Los Angeles, CA
Current Certified Professional Coder (CPC) certification, must have been certified a minimum of 2 years required. Experience as Medical Record Abstractor.
Estimated: $74.2K - $94K a year
3d
Front Office Receptionist/Biller (Dental experience required)
clear comfort dental —Monterey Park, CA
Answering phones, verifying insurance, data entry and scheduling patients, insurance billing. A minimum of one year of experience at a dental office necessary.
$21 - $28 an hour
Quick Apply
Release of Information Manager
Vital Records Holdings LLC —Los Angeles, CA
Ensuring quality assurance: An ROI Manager should develop and implement quality assurance measures to ensure that all requests for confidential information are…
Estimated: $58.3K - $73.9K a year
Quick Apply
Manager, Cancer Registry
UCLA Health —Los Angeles, CA
You will also develop and support registry follow-up services and recruit/develop CTR staff. Report cancer data to the state according to mandated timeframes.
$86,900 - $197,300 a year
Health Information Management Technician - Per Diem - Varied - 8hr QVH
Emanate Health —West Covina, CA
Record processing and maintenance include analysis of the record for chart completion and physician documentation deficiencies, release of information,…
$22 an hour
Quality Care Improvement Specialist
Astrana Health —Alhambra, CA
Attend to health plans, provider, and interdepartmental calls. Ability to drive in the state of California. Participate in ongoing discussions concerning data…
$30 - $33 an hour
Quick Apply
Health Informatics Analyst IV (flex-hybrid)
UCLA Health —Los Angeles, CA
Epic Clarity Data Model certification in one or more modules strongly preferred (incumbent will be required to obtain their certification within 6 months of…
$95,900 - $222,000 a year
Medical Records Clerk
Allied Health Solutions Medical Group —Inglewood, CA
Ability to maintain records and files. Process Medical Records request from insurance companies, clinics, court subpoenas, patients and other sources.
$18 - $23 an hour
Quick Apply
Medical Office Administration- Medical Records
United Medical Imaging Healthcare —East Los Angeles, CA
We are looking for experienced Front Desk Administrators & Patient Schedulers who will take care of answering the phone, calling and scheduling patients,…
$17.50 - $19.00 an hour
Quick Apply
5d

I want to receive the latest job alert for Health Information & Records Occupations in Alhambra, CA

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Provider Network Specialist

Medica Talent Group Montebello, CA

Quick Apply

Job Details

Temporary | Full-time $33 - $37 an hour

Benefits

Health insurance
Dental insurance
Vision insurance

Qualifications

Microsoft Excel
Microsoft Access
Management
Managed care
Administrative experience
Bachelor's degree
Data management
Network management
Certified Administrative Professional
Healthcare management
Contracts

Full Job Description

We are seeking a Provider Network Specialist to join a prominent managed care organization based in LA County. Consider applying if you come with strong administrative healthcare experience relating to contracts and provider data management.

Title: Provider Network Specialist

Schedule: Monday – Friday 8am - 5pm

Assignment Type: Temporary

Location: Montebello, CA (onsite)

Compensation: $33 – $37/HR

Overview

The position supports the Managed Care / Network Management Department. Primary responsibilities include processing ALL new contracts, provider additions, updates/changes, and terminations for primary care physicians, specialists, ancillary vendors, hospitals, and independent providers for the IPA, Clinic, PACE, DVL-HIV, Independent, and the Multipurpose Senior Services Program (MSSP). Such requests are typically received and processed from contracted and non-contracted providers via the Provider Line and Provider Support email queue. Additional requests are also received and processed from internal stakeholders such as credentialing, marketing, business development, provider data management, and clinic administration.

Qualifications

1. Four-year college degree in health care or equivalent years of related work experience preferred.

2. Extensive knowledge of managed care, provider network management, or contracting principles preferred.

Responsibilities

1. Accurately process ALL new contracts, provider additions, changes/updates, and terminations.

2. Serve as an internal liaison between providers and the Network Management Department responding timely to the Provider Telephone Line and Provider Support Email queue.

3. Address and facilitate requests received relative to contracting, provider data management, configuration, claims, referrals, and EZ-CAP with the respective personnel.

4. For new contracts/amendments, obtain updated W9, facility site review, and all required data elements via the Provider Assessment Form for consideration into the network.

5. Per Compliance, conduct preliminary background check for new providers via Streamline Verify (OIG Exclusions List), Medi-Cal provider enrollment, Medicare provider enrollment, and NPPES NPI Registry.

6. Coordinate efforts with the Provider Network Administrator to obtain approval of rates for contract negotiations.

7. Upon approval of rates, send contracts and credentialing resources to provider for signature to include follow-up. If denied, send letters to providers.

8. Upon receipt of signed contracts from the providers, complete the New Contract Request Form and initiate the next phase of the contracting process in Compliance 360 for department and accountability purposes to include uploading streamline verify documents, W9, PAF, and partially executed contract. This task initiates the credentialing process.

9. Monitor approval of credentialed providers in an effort to execute contracts with the completion of the CEO Signature Request Form.

10. Upon receipt of CEO’s signature, upload executed contract in C360 to initiate next phase of the contracting process for the Provider Data Management Department to upload practice/provider demographics, followed by configuration of rates and accurately reflecting provider in Net.

11. Manage and process C360 rejections received from Credentialing, Provider Data Management, Configuration, and Provider Oversight due to incomplete information, etc. that are returned to the Network Management Department.

12. Utilize Microsoft Access Contracting Database to enter and track ALL contracting efforts including status. This includes adherence to proper naming conventions for consistent filing and reporting purposes.

13. For additions/updates/changes/terminations, receive and complete respective Contract Request Form for submission via C360 routing to credentialing, provider data management, configuration, Net and Provider Oversight in an effort to update proper systems.

14. For provider terminations, work with the Provider Network Administrator to obtain default providers ensuring alignment with region, specialty, age limits, and health plan assignment. Send out termination letters to include the effective date according to the terms of the contract and updating the Microsoft Access Contracting Database for reporting purposes.

15. Effectively articulate/delegate necessary tasks to the Provider Network Administrators for missing and/or relevant information to process all requests.

16. Consistently utilize and update resource tools available for the job. May be involved with the design of programs used to manage Contract Request Forms.

17. Assists in the formulation of policies and procedures to ensure compliance with managed care contracts.

18. Generate reporting on the production of Contract Request Forms for accountability purposes, analysis, maintaining appropriate record keeping for provider orientations, performance reviews, and health plan audits.

19. Provide professional and efficient customer service. Assist with covering duties for the Administrative Assistant, as needed.

20. Performs other related duties and projects as assigned.

Job Types: Full-time, Temporary

Pay: $33.00 - $37.00 per hour

Expected hours: 40 per week

Benefits:

Dental insurance
Health insurance
Vision insurance

Schedule:

8 hour shift
Monday to Friday

Education:

Bachelor's (Preferred)

Experience:

Provider Contracts: 1 year (Preferred)
DOFR: 1 year (Preferred)
Managed Care: 2 years (Preferred)

Ability to Commute:

Montebello, CA 90640 (Required)

Work Location: In person

Quick Apply

Health Information & Records Occupations jobs in Alhambra, CA

Provider Network Specialist

Medical Scribe - West Los Angeles, CA

Dental Front Office Coordinator/Insurance Biller

HEALTH RECORD TECHNICIAN I

Billing Supervisor

Clinical Informaticist (flex-hybrid)

Medical Records Manager

Patient Information Clerk

Skilled Nursing Facility Biller

Medical Lien Negotiator

Certified Coder I (Remote: CO, NV, PA, UT, WA, TX, OK or MO)

Health Info Coder II

Front Office Receptionist/Biller (Dental experience required)

Release of Information Manager

Manager, Cancer Registry

Health Information Management Technician - Per Diem - Varied - 8hr QVH

Quality Care Improvement Specialist

Health Informatics Analyst IV (flex-hybrid)

Medical Records Clerk

Medical Office Administration- Medical Records

Job Seeker Tools

Employer Tools

Browse

Stay Connected

Health Information &amp; Records Occupations jobs in Alhambra, CA

Health Information & Records Occupations jobs in Alhambra, CA