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Medical liaison Jobs in Modesto, CA

Last updated: 5 days ago
  • Promoted
Medical Authorization Assistant

Medical Authorization Assistant

V Group Inc.Orange County, CA, US
Full-time
For more details, please connect with.Job Title : Medical Authorization Assistant.Location : 505 City Parkway West, Orange CA 92868 (Onsite). CalOptima Health is seeking a highly motivated an experien...Show moreLast updated: 15 days ago
Liaison / MRB Stress Engineer

Liaison / MRB Stress Engineer

The Structures Company, LLCcountry-wide, CA, United States
Quick Apply
Job Title : Liaison / MRB Stress Engineer.TX, SC, WA, CA, NM, CO, KS, VA, NC, GA, OK, MO.We are a national staffing firm working with some of the top-tier aerospace companies in the world! A...Show moreLast updated: 30+ days ago
  • Promoted
Medical Assistant

Medical Assistant

The Plus GroupEmpire, CA
$21.25 hourly
Quick Apply
Are you looking to apply your experience as a Medical Assistant in a busy clinic? Do you own advanced customer service skills? We are looking for you!!. The Plus Group - Modesto is the leading Medic...Show moreLast updated: 9 days ago
  • Promoted
Medical Assistant

Medical Assistant

Aegis Treatment CentersModesto, CA, US
$19.00 hourly
Full-time
We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.Aegis / Pinnacle Treatment Centers is a growing leader in addiction treatment servi...Show moreLast updated: 30+ days ago
  • Promoted
Site-Medical Director

Site-Medical Director

The Judge GroupModesto, CA, United States
Full-time
The Judge Group is seeking a Site Medical Director for an esteemed Occupational Health Client.Physicians with experience in Occupational Health, Urgent Care, Emergency Medicine, or General Surgery ...Show moreLast updated: 16 days ago
  • Promoted
Physician Medical Director

Physician Medical Director

Concentra, Inc.CA, United States
$50,000.00 yearly
Full-time
Los Angeles, a city full of creativity, culture, world-class entertainment, and amazing weather! If you’re at a phase in your life where you’re looking for an exciting place to live and an exciting...Show moreLast updated: 5 days ago
Medical Science Liaison

Medical Science Liaison

Mundipharma, Based / Remote, CA
Remote
Full-time
Job Title : Medical Science Liaison (MSL).Location : Field Based – Alberta, British Columbia & Manitoba.This field-based position is responsible to act as a key conduit of information about therapeut...Show moreLast updated: 30+ days ago
Business Development Liaison

Business Development Liaison

Right at Home Modesto, CAModesto, CA, US
$21.00 hourly
Part-time
This individual will act as a key intermediary between internal teams and external partners and clients.The ideal candidate will have exceptional communication and relationship-building skills, a p...Show moreLast updated: 16 days ago
MSL (Medical Scientific Liaison) - Toronto

MSL (Medical Scientific Liaison) - Toronto

CSLAmericas, CA, Remote, CSL Behring
Remote
Full-time
At CSL Behring, we use our skills, dedication, and entrepreneurial spirit to offer innovative solutions in iron deficiency, nephrology, and cardio-renal therapies, so we can help patients around th...Show moreLast updated: 30+ days ago
Liaison (Sales Rep)

Liaison (Sales Rep)

Direct RecruitersCA, US
Full-time
Tech-enabled homecare company specializing in end-of-life care.Partners with government agencies, health plans, health systems, and physician organizations. Utilizes technology and homecare to impro...Show moreLast updated: 30+ days ago
  • Promoted
Physician - Medical Director

Physician - Medical Director

Virtually ConnectedModesto, CA, US
Full-time
Tips : Provide a summary of the role, what success in the position looks like, and how this role fits into the organization overall. Leadership that focuses on people development, specifically mentor...Show moreLast updated: 30+ days ago
  • Promoted
MEDICAL SOCIAL WORKER

MEDICAL SOCIAL WORKER

Satellite HealthcareMount MADONNA, CA, United States
$81,586.00–$97,904.00 yearly
Full-time
Openings in Watsonville, California.Satellite Healthcare is more than simply a dialysis company.Since our founding in 1974, we have become the industry’s leader in personalized quality care : 70% of...Show moreLast updated: 11 days ago
Rehab Liaison

Rehab Liaison

Encompass HealthModesto, California
Full-time
Salary : 70,000-90,000 / annually.Clinical Rehab Liaison Career Opportunity.Appreciated for your Clinical Rehab Liaison Skills - Clinical License Required. Ever heard of a clinical rehab liaison? Are y...Show moreLast updated: 12 days ago
Networker / Community Liaison

Networker / Community Liaison

FirstLight Home Care of Southern Mainethe San Francisco Peninsula
Full-time
Are you self-motivated, dedicated and dependable? Do you love to go above and beyond to help others?.At FirstLight® Home Care, we’re dedicated to hiring people who have a passion for excellence.We ...Show moreLast updated: 30+ days ago
  • Promoted
Medical Laboratory Technician

Medical Laboratory Technician

Sutter HealthModesto, CA, United States
$45.28–$56.58 hourly
Full-time +1
We are so glad you are interested in joining Sutter Health!.This is a limited term position with an anticipated duration of approximately six months. Performs pre-analytic, analytic and post-analyti...Show moreLast updated: 5 days ago
Senior Pipeline Medical Science Liaison; Cardiovascular Metabolic Disease - West Region

Senior Pipeline Medical Science Liaison; Cardiovascular Metabolic Disease - West Region

Genentech, IncCalifornia
$163,700.00–$303,900.00 yearly
Full-time
Senior Pipeline Medical Science Liaison; Cardiovascular Metabolic Disease - West Region.The Senior Therapeutic Area Medical Science Liaison (TA MSL) is a credible scientific partner responsible for...Show moreLast updated: 30+ days ago
Medical Science Liaison

Medical Science Liaison

Cardinal HealthCalifornia, United States
$103,500.00–$147,900.00 yearly
Full-time
Anticipated Salary Range : $103,500.Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage.Access to wages before pay day...Show moreLast updated: 30+ days ago
Thought Leader Liaison, Director

Thought Leader Liaison, Director

SobiCA, US
Full-time
Introduction / Purpose The Thought Leader Liaison Director role is a field-based, non-sales focused position, working closely with pHLH U. S Key Opinion Leaders (KOLs) to ensure cross-functional resou...Show moreLast updated: 30+ days ago
Medical Director (Medical Affairs)

Medical Director (Medical Affairs)

CVS HealthCalifornia, Work At Home, US
Remote
Full-time
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
  • Promoted
Clinic Medical Director

Clinic Medical Director

Ventura CountyCA, United States
$25,000.00 yearly
Full-time
The County of Ventura Ambulatory Care is seeking a qualified candidate to fill the position of Clinic Medical Director located at the Magnolia Family Medical Centers (East and West locations) in Ox...Show moreLast updated: 5 days ago
Medical Authorization Assistant

Medical Authorization Assistant

V Group Inc.Orange County, CA, US
15 days ago
Job type
  • Full-time
Job description

For more details, please connect with Ibad Ullah Khan at 971-431-1753 or email at [email protected]

Client : Healthcare

Job Title : Medical Authorization Assistant

Duration : 06 Months

Start Date : ASAP

Location : 505 City Parkway West, Orange CA 92868 (Onsite)

Position Type : Contract

Interview Type : Web Interview

Description :

  • CalOptima Health is seeking a highly motivated an experienced Medical Authorization Assistant to join our team.
  • The Medical Authorization Assistant (Multipurpose Senior Services Program) will provide office and case management support services.
  • The incumbent will serve as a contact between members, physicians, providers and CalOptima Health’s staff to gather information and serve as an interpreter as needed.
  • Under the manager’s direction, the incumbent will be responsible for providing effective, efficient and courteous interaction with providers, members and families and other CalOptima Health staff.
  • The incumbent will perform medical administrative and routine tasks specific to the assigned program and may also perform administrative support functions.

Duties & Responsibilities :

80% - Program Support

  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Receives cases via fax, phone or electronically and enters new case information into the MSSPCare Online and Jiva systems.
  • Conducts individual interviews / assessments with CalOptima Health members and providers to obtain intake information.
  • Obtains information on requested services according to CalOptima Health’s services department guidelines, performs data entry into MSSPCare Online and Jiva and verifies eligibility.
  • Contacts the health networks and CalOptima Health’s Customer Service regarding health network enrollments.
  • Assists the Medical Case Managers and Social Workers in gathering medical records, obtaining appropriate information on diagnoses and procedures and following up on phone calls.
  • Documents all contacts and case information in the appropriate MSSPCare Online and Jiva scripts or activity as appropriate.
  • Assists the Medical Case Managers and Social Workers with services arrangement including durable medical equipment and other services and items provided through insurance(s) and community-based organizations.
  • Performs high-volume data entry of 1915(c) Medicaid Waiver services into the MSSPCare online software system, as well as other appropriate databases, for tracking, monitoring, billing and trending of service utilization.
  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Receives cases via fax, phone or electronically and enters new case information into the MSSPCare Online and Jiva systems.
  • Conducts individual interviews / assessments with CalOptima Health members and providers to obtain intake information.
  • Obtains information on requested services according to CalOptima Health’s services department guidelines, performs data entry into MSSPCare Online and Jiva and verifies eligibility.
  • Contacts the health networks and CalOptima Health’s Customer Service regarding health network enrollments.
  • Assists the Medical Case Managers and Social Workers in gathering medical records, obtaining appropriate information on diagnoses and procedures and following up on phone calls.
  • Documents all contacts and case information in the appropriate MSSPCare Online and Jiva scripts or activity as appropriate.
  • Assists the Medical Case Managers and Social Workers with services arrangement including durable medical equipment and other services and items provided through insurance(s) and community-based organizations.
  • Performs high-volume data entry of 1915(c) Medicaid Waiver services into the MSSPCare online software system, as well as other appropriate databases, for tracking, monitoring, billing and trending of service utilization

    • 15% - Administrative Support

  • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals / priorities for the department.
  • Generates monthly and other required reports from the databases as requested by the Medical Case Managers, Social Workers and / or health networks.
  • Provides customer service to providers and members.
  • Purchases, delivers and / or retrieves items from vendors and / or MSSP participants as requested by the Medical Case Managers or Social Workers.
  • Conducts in-home visits to retrieve signatures on care plans or other documents.
  • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals / priorities for the department.
  • Generates monthly and other required reports from the databases as requested by the Medical Case Managers, Social Workers and / or health networks.
  • Provides customer service to providers and members.
  • Purchases, delivers and / or retrieves items from vendors and / or MSSP participants as requested by the Medical Case Managers or Social Workers.
  • Conducts in-home visits to retrieve signatures on care plans or other documents.

    • 5% - Completes other projects and duties as assigned.

    Minimum Qualifications :

  • High School diploma or equivalent required PLUS 2 years of experience in a health care or managed care setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
  • Have access to means of transportation for work away from the primary office approximately 5% of the time.

    • Preferred Qualifications :

  • 2 years of experience in invoice reconciliation and medical billing / coding required, preferably for Medicaid / Medi-Cal.
  • 2 years of experience of data entry completion.
  • Experience working with the needs of seniors or persons with disabilities (SPD) in a customer / member service capacity.
  • Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).