Top 18 Rac Jobs in La Verne Ca

RAC Manager
Prime Healthcare Management Inc —Ontario, CA
- $71,760.00 - $94,619.20 a year
- Full-time
- Mid-level
- Master's degree
- Bachelor's degree
- Health insurance
- Dental insurance
4d
Regulatory Affairs Coordinator
University of California, Irvine —Orange, CA
- $37.56 - $61.91 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Retirement plan
AR Area Manager/AR Consultant
Rockwell Care —Ontario, CA
- $130,000 - $140,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- Residential
- Health insurance
- Dental insurance
Quick Apply
Participant Recruitment Agent
Altasciences —Cypress, CA
- Communication skills
Seasonal Retail Sales Associate - SAC SacBook Rac B2324
Follett —Walnut, CA
- $18.50 an hour
- Weekends as needed
- 18 years or older
- Computer literacy
- Merchandising
- Flexible schedule
5d
Physician Assistant
Altasciences —Cypress, CA
- On call
- Paid holidays
- Health insurance
Office Systems Associate 1
Konica Minolta Business Solutions, U.S.A., Inc. —Riverside, CA
- Full-time
- Commercial
- Paid training
- Paid holidays
Director of Nursing - Covina Skilled Nursing Facility
Masonic Home: Covina —Covina, CA
- $145,000 - $178,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Tuition reimbursement
- Opportunities for advancement
Quick Apply
13d
Clinical Research Technician I (CPT or MA)
Altasciences —Cypress, CA
5d
Denials Manager RN
AHMC Healthcare —San Gabriel, CA
- From $53.10 an hour
- Full-time
- Nursing
- RN License
- Hospital
Staff International Regulatory Affairs Specialist
Stryker —Irvine, CA
- $110,100 - $183,400 a year
- Full-time
- Engineering
- Mid-level
- Office
- Health savings account
- AD&D insurance
8h
Licensed Vocational Nurse
Altasciences —Cypress, CA
Mental Health Worker
Clear Behavioral Health —El Monte, CA
- $21 - $25 an hour
- Full-time
- Addiction Medicine
- Mid-level
- Residential
Quick Apply
Program Manager
Clear Behavioral Health —Anaheim Hills, CA
- $25 - $30 an hour
- Full-time
- CPR Certification
- Addiction Medicine
- BLS Certification
- Paid holidays
- Disability insurance
Quick Apply
Oracle Middleware Database Administrator (US)
CMiC —United States
- Contract
- Remote
- Computer Science
- 5 years
- System design
Quick Apply

Discover related jobs

Based on your search for rac jobs.

Office Systems Associate 1
Konica Minolta Business Solutions, U.S.A., Inc. —Riverside, CA
Perform maintenance and repairs on Konica Minolta products to include technical diagnostics, break/fix, installation, hardware removal and troubleshoot…
Rent-A-Center Account Representative - SUNDAYS OFF!
ECLIPSE RTO, LLC —Lancaster, CA
Valid state driver’s license and good driving record. You will be providing great customer service managing your route in the store, and you will also be…
$16.50 - $17.50 an hour
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

MDS Coordinator - RN
Springfield Masonic Community —Springfield, OH
Registered Nurse licensed in the State of Ohio. 403(b) Retirement Plan Participation with Match. Assists to maintain quality documentation in the nursing…
Quick Apply
11d
Account Manager
Rent A Center —Marysville, OH
Valid driver’s license with good driving record. This dynamic role is responsible for managing rental accounts by delivering exceptional customer service,…
$14.45 - $17.00 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for rac in la verne ca

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

Explore jobs in more locations

rac jobs near la verne ca

Regulatory Affairs Manager jobs in Orange, CA

Mental Health Technician jobs in El Monte, CA

Regulatory Affairs Specialist jobs in Irvine, CA

Limpieza De Oficinas jobs in Miami, FL

Oportunidad De Empleo Chofer jobs in Puerto Rico

Trabajo De Limpieza jobs in San Jose, CA

Trabajo De Limpieza jobs in Austin, TX

Staff Accountant jobs in New Jersey

Revenue Accountant jobs in Lexington, KY

Revenue Accountant jobs in Nashville, TN

Remote Revenue Cycle Management jobs in Tennessee

Internal Revenue Service jobs in Austin, TX

Revenue Accountant jobs in Seattle, WA

Revenue Accountant jobs in Conroe, TX

Healthcare Revenue Cycle jobs in Cincinnati, OH

Data Center Manager jobs in Austin, TX

Accounts Receivable Manager jobs in Kentucky

Accounts Payable jobs in Orange County, CA

Accounts Receivable Manager jobs in Richmond, VA

Accounts Receivable Manager jobs in Boston, MA

RAC Manager

Prime Healthcare Management Inc -
Ontario, CA

Apply Now

Job Details

Full-time
$71,760.00 - $94,619.20 a year
4 days ago

Benefits

Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance

Qualifications

Master's degree

Full Job Description

Overview:

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Responsibilities:

The RAC Manager serves as the primary contact and representative handling the data/documentation requests received based on the Government audits and manage the appeals process as part of the denial management. Is knowledgeable in the specific functions of the clerical positions and serves as a resource for co-workers. Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG, Pre/Post Probes, HSAG and M-Cal), and others as they are created. Working with the Supervisor(s), a RAC manager functions as a subject matter expert (SME) for the appeals process and takes an active role in managing the process and coordinating with the RAC team, Corporate Utilization Review and Clinical appeals team. Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis, resolution, monitoring & reporting of clinical denials. Facilitates peer to-peer following appeals submission for Fair Hearing for Medicaid audits. Serves as a liaison between Case management, Business office and Coding teams to ensure timely reporting and tracking/ follow up of denials. Reviews and determines appropriate strategy in response to reimbursement denials. Coordinates data analytics to determine denial trends and reasons that could be reviewed with administration / CMO wherever applicable. In tandem with the Training Supervisor keeps abreast with the ongoing education/training to stay current with emerging industry trends on denials management. Performs ongoing audits; to monitor ADR requests and appeal/denial process and develops process improvement plans for identified deficiencies. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment. Performs other duties as assigned.

Qualifications:

Required qualifications:

Master’s in healthcare with one year experience in denial management.

Preferred qualifications:

ECFMG Certification And/or Bachelor’s or higher from a US-based accredited institution in a Health and Human Services field is highly preferred.
Extensive knowledge of nursing care, clinical measurement tools, and clinical outcomes; ability to establish cooperative working relationship with diverse groups and individuals, the medical staff, and other healthcare disciplines; program and database development a plus
1+ year of clinical experience in acute care setting preferred.
Excellent written and verbal communication skills. Excellent critical thinking skills.
Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.

Pay Transparency:

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $71,760.00 to $94,619.20 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status: Full Time Shift: Days Equal Employment Opportunity:

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice:

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Apply Now

Refine Your Search

rac jobs in la verne ca

RAC Manager

Regulatory Affairs Coordinator

AR Area Manager/AR Consultant

Participant Recruitment Agent

Seasonal Retail Sales Associate - SAC SacBook Rac B2324

Physician Assistant

Office Systems Associate 1

Director of Nursing - Covina Skilled Nursing Facility

Clinical Research Technician I (CPT or MA)

Denials Manager RN

Staff International Regulatory Affairs Specialist

Licensed Vocational Nurse

Mental Health Worker

Program Manager

Oracle Middleware Database Administrator (US)

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for rac in la verne ca

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected