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Jobs 1-8 of 8

RN Complex Case Manager - La Palma, CA (755319)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/20/2018

AppleCare Medical Management Group was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving...

Healthcare Claims Auditor ($500 Sign-on External) - La Palma, CA (748993)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/14/2018

This position is responsible for reviewing all processed claims prior to payment release, and respond to Health Maintenance Organization (HMO) Enrollees for Medicare and HMO Enrollees. Responsible for daily auditing of managed care claim payments.  Will be responsible to monitor claims compliance with Medicare by auditing reports.  This person is the liaison with internal and external clients to resolve provider/member claim issues.  Responsible to train claims examiners and is a resource relating to claims guidelines.   Primary Responsibilities: To perform daily audits of claims payment as ...

Medical Coder, AppleCare Medical - La Palma, CA (740698)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/13/2018

AppleCare Medical Management Group was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving...

Healthcare Call Center Assoc. (Bilingual - Spanish) - La Palma, CA (760874)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/12/2018

Primary Responsibilities: Responsible for answering up to 50 - 70 incoming phone calls per day from both our English speaking and Spanish speaking customers and identify the type of assistance the customer needs Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-be...

Medical Claims Examiner ($500 Sign-on External) - La Palma, CA (751936)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/09/2018

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm)   To process the medical claims of the company’s IPA clients pursuant to designated production quotas for accuracy and productivity benchmarks.Primary Responsibilities: Batch and prioritize claims processing utilizing the Company’s in-house claims processing system Verify patient’s accounts for eligibility and benefits Proce...

Urgent Care Nurse Practitioner, AppleCare Medical - Downey, CA (750916)

Full-time | Optum Local Care Delivery | Downey, CA

04/04/2018

AppleCare Medical Management Group was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving ...

Manager of Utilization Management, RN/LVN - AppleCare Medical - La Palma, CA (739423)

Full-time | Optum Local Care Delivery | LA PALMA, CA

03/28/2018

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)   Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical is comprised of hundreds of board - certified private - practice, independ...

Primary Care Physician, AppleCare Medical - Downey, CA (756206)

Full-time | Optum Local Care Delivery | Downey, CA

03/07/2018

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)   Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical is comprised of hundreds of board - certified private - practice, independ...

Jobs 1-8 of 8