Job Board: 

Posting to the job board is a member benefit. Non-members can post a position for 60 days for $100.

To post a position, please complete and return our Job Posting Request Form to staff@camgma.com

Billing and Claims Clerk

County of Sonoma - Santa Rosa, CA

Salary: $64,679.85 - $78,621.81 Annually

Closing Date: 6/2/2025 11:59 PM Pacific

Grow your career in accounting as a Billing and Claims Clerk!

Multiple opportunities are currently available in the Department of Health Services.

The Department of Health Services (DHS) seeks detail-oriented and proactive Billing and Claims Clerks to join their team. These positions are crucial in managing financial transactions related to medical billing and claims processing, ensuring accuracy and compliance with departmental procedures.

Key responsibilities include:

• Reviewing and maintaining financial records related to medical billing and claims, including processing invoices for payment through the SmartCare Electronic Healthcare Records system

• Conducting financial eligibility verifications to ensure accurate billing and claims submissions

• Processing and resolving claim denials, including researching and appealing denied claims to secure payment

• Verifying and comparing rates to ensure billing accuracy and compliance with contractual agreements and federal and state regulations

• Scanning and entering invoices into the County's Enterprise Financial System for processing, ensuring timely and accurate payments

• Maintaining cost accounting records at the program level, balancing and reconciling accounts, and preparing summaries and cost statistics

• Assisting staff and the public in answering questions on payments and invoicing

• Training new staff and providing lead direction to clerical accounting personnel

What We Offer

Working at the County of Sonoma offers expansive opportunities for growth and development, the ability to be a part of a challenging and rewarding work environment, and the satisfaction of knowing you're working to better our communities. You can also look forward to flexible work arrangements and excellent benefits* including:

• Hybrid Telework - A schedule that meets the needs of our staff, department operations, and the communities we serve may be available depending on the assignment

• Salary Advancement - A salary increase after 1,040 hours (6 months when working full-time) for good work performance; eligibility for a salary increase for good performance every year thereafter, until reaching the top of the salary range

• Paid Time Off - Competitive vacation and sick leave accruals, 12 paid holidays, and an additional 8 floating holiday hours per year

• County Paid Health Premium Contributions - 100% premium contribution for the majority of employee-only and employee + family health plan options

• Post-Retirement Health Reimbursement Arrangement - County contributions to help fund post-retirement health insurance/benefits

• Retirement - A pension fully integrated with Social Security

• Paid Parental Leave - May be eligible for up to 8 weeks (320 hours) after 12 months of County employment

• Student Loan Debt Relief – County employees may be eligible for Public Service Loan Forgiveness through the U.S. Department of Education

Learn more and apply: http://50.73.55.13/counter.php?id=302879

* Salary is negotiable within the established range for the position level and benefits described herein do not represent a contract and may be changed without notice. For more information, including minimum qualifications, & to apply, visit www.yourpath2sonomacounty.org or call 707-565-2331. The County of Sonoma is an Equal Opportunity Employer. We value diversity and are committed to having a workforce that is representative of the communities we serve *

Posted: 5-27-2025

Claims Specialist

OVERVIEW: CAP seeks a Claims Specialist, for its Orange County office, to perform technical and administrative duties to manage assigned medical malpractice claim files; assumes increased workload of highly complex claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Manage increasingly complex cases with larger financial exposure.
• Investigate and evaluate claim files including complying with the standards of performance, interviewing members, reviewing medical records, corresponding with plaintiff attorneys, obtaining preliminary expert evaluation/opinions, and preparing interview summaries.
• Prepare case evaluation reports for publication and presentation to the CRC and CSC.
• Prepare case evaluation reports for discretionary authority on selected cases.
• Manage and participate in all litigation activity, including discovery plan, mediation, MSC, and negotiation under supervision, as necessary.
• Monitor trials and arbitrations including daily progress reports, providing member and defense attorney with support.
• Prepare claim file resolution documentation.
• Timely update the claims database.
• Document all important case developments under the chronology tab.
• Code the claims file and update as relevant information is available.
• Timely review and index documents to the On Base system.
• Provide assistance to management as indicated on special project.
• Identify, investigate and follow-up on coverage issues.
• Take Hotline calls as requested and as necessary and prepare hotlines.
• Attend staff and department meetings as indicated.
• Assist management in training of Claims

EDUCATION and/or EXPERIENCE:

• Bachelor’s degree from four-year college or university.
• Relevant legal and/or medical education background or the equivalent.
• Minimum five years of medical malpractice claims management experience and/or three years CAP claims experience.

CERTIFICATES, LICENSES, REGISTRATIONS:

• Valid California driver license

OTHER SKILLS and ABILITIES:

• Excellent demonstrated verbal and written communication
• Effective time management skills.
• Ability to manage multiple priorities/deadlines
• Personal computer literate preferred.
• Strong analytical skills

Salary Range: $90,000 - $120,000 Annually (Depending on Experience)

* Send cover and resume to HR@CAPphysicians.com *

Posted: 5-12-2025

Sr. Risk Management & Patient Safety Specialist

OVERVIEW: Provide risk management consultation and support to physician members and insureds.

Essential Duties and Responsibilities:

• Act as resource to physicians and their staff regarding risk management and other current issues regarding physician/medical practice liability. Manage complex and sensitive issues as they relate to risk reduction strategies for physician practices.
• • Provide risk management advice to Hotline and e-mail requests from physicians and their staff. Participate in rotating after-hours (evenings, weekends, & holidays) Hotline coverage.
  • Organize, plan, and conduct virtual, or on-site, physician practice risk assessments to promote patient safety practices and to minimize malpractice risk.

• Function as an RMPS resource to other CAP department staff
• Analyze claims data and other data sources. Identify trends and develop risk reduction strategies utilizing current best practices.
• Develop risk management practice guides, templates, educational materials, and other resources for physicians and their staff focusing on patient safety and risk management.
• Research and write professional RMPS articles.
• Create and present educational programs on risk management topics and strategies to physicians and other healthcare related groups.
• Participate in RMPS Departmental and organizational meetings, goals, projects, committees
• Participate in Risk Assessment Peer Review meetings, including review of materials, drafting case summaries and minutes
• Staff CAPCares Unit as assigned, including:
• • Counsel, guide and coach members/member entities referred to CAPCares hotline in real time or post-adverse patient event with clinically tailored advice specific to the nature of the case.
  • Identify and manage Adverse Patient Outcome cases subject to intervention with Patient Assistant Services (PAS).
  • Evaluate subpoenas and requests for deposition, appearances, etc., route requests to appropriate CAP departments or provide guidance to Members as needed.

Education and Experience:

• Bachelor’s degree in a healthcare related field required; master’s degree preferred
• RN, RN/JD, or clinical license preferred
• Five years’ experience in healthcare risk management or equivalent experience in a healthcare related environment
• Professional liability experience highly desirable
• Physician office management or ambulatory care experience preferred
• Experience and participation in patient safety/risk management and quality improvement (QI/QA) activities or committees
• Knowledge of root cause analysis (RCA), adverse event management, responding to grievances and complaints, advance directives and release of protected health information
• Experience identifying educational and learning needs/gaps of healthcare professionals or physician office practices and developing education and providing training to address the needs
• Experience writing articles, healthcare educational material, and professional business correspondence
• Experience in public speaking, e.g., creating and providing presentations to medical personnel or teaching classes

Other Skills and Abilities:

• Excellent verbal and written communication skills
• Excellent customer service skills
• Ability to work independently and collaboratively
• Strong organizational skills
• Maintain a valid California driver license to travel to physician offices or other venues
• Ability to travel to practice locations within California, with occasional overnight stays, when requested
• Computer skills including Microsoft Office, Word, Excel, PowerPoint

Preferred Knowledge of the Following:

California and federal laws and regulations pertaining to the practice of medicine and healthcare, including MICRA; medical risk management techniques; professional liability coverage; hospital and medical office policies and procedures; social behavioral and educational research techniques and evaluation; and medical, legal, insurance databases.

Salary Range: $100,800 - $121,000 Annually (Depending on Experience)

* Send cover and resume to HR@CAPphysicians.com *

Posted 5-12-2025

Office Manager - Marin Cancer Care

Join the premier cancer care practice of 10 physicians in Marin County which is known for its beautiful scenery, lifestyle, culture and proximity to San Francisco. The practice provides state of the art compassionate, integrative medical care including hematology, medical oncology, radiation oncology and research studies.

This position reports directly to the CEO. Overall responsibilities are to manage the daily operations to ensure efficient workflow, staffing and a compassionate, superlative customer care experience.

There is low staff turnover in this group due to the physicians’ commitment to the staff, excellent benefits and family team atmosphere.

Responsibilities

• Responsible for overall day-to-day operations of the practice including patient flow, physician support, and staff oversight while fostering an environment of continuous improvement and maintaining high standards of service and support to patients, physicians, nurses, and staff.
• Supervise front office, scheduling, medical assistants (non-clinical activity) and other personnel as assigned.
• Work closely with the physicians and nurses to optimize patient scheduling, workflow, and communication.
• Provide staff training, feedback, and development in a respectful, consistent manner. Encourage growth and development of all staff.
• Ensure appropriate supplies, equipment, cleanliness, and safety of the facility including maintenance and service provider oversight.
• Ensure patient insurance benefits are verified and required authorizations are obtained to assure coverage determinations in advance of services.
• Support regulatory and legal compliance including employment laws, OSHA, HIPAA, Medicare guidelines and regulations, and other applicable laws, regulations, and guidelines.
• Ensure compliance with established policies, procedures, quality assurance programs, safety and infection control policies and procedures including required compliance assessment completion. Acquire and maintain site accreditations as required.
• Establish effective communication with staff, physicians, nurses, and patients to foster an environment of openness, trust, teamwork, and staff development.
• Focus on patient satisfaction and act to resolve patient grievances.
• Serve as primary liaison to the business office to ensure all financial transactions are carried out according to policy including collecting copays, coinsurance, and deductibles.
• Support collection functions of the practice and make sure that on-site personnel collect co-payments, deductibles, and prior balances in a timely, professional manner.
• In collaboration with physicians and CEO, assess practice census, staffing and operational requirements on an ongoing basis.
• Perform other duties as needed or assigned.

Requirements:  At least five years medical group management with staff supervision of 5 + staff with size of physician group greater than two MDs, strong proficiency of MS Office programs, superior oral and written skills, ability to create a team-oriented environment and work effectively with all departments, strong organizational skills with excellent follow through on tasks assigned, and initiative to problem solve solutions, ability to use various computer/EMR systems and applications.

Preferred Qualifications:

Oncology experience a plus. Experience with Mosaic, Epic or other EMRs, Understanding of oncology or infusion billing, BS in healthcare administration or comparable on the job experience.

Please do not apply if you do not have medical group management experience.

Salary Range:  TBD and  depending on experience - Excellent benefits including 401K with profit sharing. 

Resumes to: Mgr@practiceconsultants.net  or fax (415) 764-4802.  DO NOT CONTACT THE PRACTICE DIRECTLY.  Any applicants or recruiters that do, will be disregarded.

Posted 4-29-25

Executive Director/Chief Medical Officer (ED/CMO)

Washington Health Medical Group (WHMG) seeks a dynamic and highly collaborative physician executive to serve as its next Executive Director/Chief Medical Officer (ED/CMO). This is a unique opportunity for a visionary physician leader to lead this premier community medical group through cultural transformation and growth.

Located in the San Francisco Bay area, WHMG is a patient centered multi-specialty medical group focused on providing comprehensive care across a broad range of specialties and services. WHMG has experienced tremendous growth in the past few years and is committed to being the premier multi-specialty medical group serving the area. WHMG is affiliated with Washington Health which has been serving Northern California since 1958 and is recognized as one of the nation's top Hospitals and is currently licensed for 415 beds. WHMG consists of more than 100 providers and 225 staff spanning across 21 locations representing 24 specialties. WHMG and Washington Health are both on Epic EHR.

The ED/CMO will have oversight of operations and for all matters related to provider performance and will enhance a culture that promotes the highest quality of care across all sites. This physician leader will continue to build a cohesive, high-performing medical group that is focused on service excellence and continuous improvement. Through the development of successful performance improvement standards and practices, the ED/CMO will succeed in creating a highly attractive practice environment for physicians/providers. He/she will be committed to a culture that is supportive of physicians/providers and fosters their professional development. This executive leader will foster a culture within the medical group of excellence, accountability, communication and collaboration.

The ED/CMO will provide strategic and visionary input to transform the care delivery model, creating a standardized, evidence-based approach to patient care and a more consistent patient experience through the enhancement of clinical integration and care coordination across all clinical sites and the Health System.

The ED/CMO will be an experienced physician leader, with clinical credibility and a distinct vision for the integrated medical group. He/she is a leader who can clearly and comfortably communicate with and collaborate with physicians of various backgrounds and administrators at various levels, while formulating an approach to infrastructure and systems to support a high-performing medical group. The salary range for this position is $400,000 to $600,000 based on credentials and years of experience.

Washington Health Medical Group values diversity and is committed to equal opportunity for all persons regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status protected by law.

* Interested parties may confidentially apply or offer nominations via the WittKieffer portal. For more information, please contact Carl Fitch via email at cfitch@wittkieffer.com. All nominations or expressions of interest will be treated as confidential *

POSTED: 4-23-2025Medical Practice Consultant/Practice Manager

Company: Advanced Dermatology

Position Description: Medical Practice Consultant or Practice Manager needed for private practice. We need help to analyze and improve the overall practice. Assist with hiring and staff analysis. May help with supervision. Build the business. This position offers a great career opportunity with the chance to live and work in the beautiful Lake Tahoe area.

* If you are interested in this position, please contact June at southshoretahoe@aol.com *

POSTED: 4-4-2025