7 jobs found in Temecula

NATURE AND SCOPE: The Reimbursement Specialist is a pivotal position requiring excellent communication skills, independent judgment, and ability to interact with private, state and federal payer representatives, fiscal intermediaries, case managers, pharmacy partners and NuFACTOR® field personnel in the role of coordinating reimbursement from product dispensing through to completion and final resolution of the payment cycle. Incumbent shall possess intermediate knowledge of reimbursement principles as well as the structure of various private, federal and state payer entities and the specific program issues related to each. PRINCIPAL ACCOUNTABILITIES: Submit and/or follow-up on payer claims. This may include; primary, secondary, tertiary claims and/or patient statements. Verify accuracy of payments according to the payer’s fee schedule. Possess an intermediate understanding and ability to audit accounts receivables: analysis of payments, contractual discounts and/or...

NATURE AND SCOPE: This position coordinates and oversees a system of support for NuFACTOR® Operations, Pharmacy and Customer Service; and provides overall coordination and support for all NuFACTOR® management and staff. PRINCIPAL ACCOUNTABILITIES: Attend company and departmental meetings as requested, takes meeting minutes, distributes and maintains minutes. Receives nursing notes and invoices for timely processing. Responsible for tracking invoicing issues and resolving them in a timely manner. Responsible for coding and processing all vendor/third party invoices in a timely manner. Maintains appropriate office supplies on hand: i.e. toner, paper and coordinates with Office Services Coordinator for all supply orders. Manages fax communications and ensures timely distribution to the appropriate personnel/team members. Responsible for tracking when QOL calls/mailed surveys are due and calls patients or mails requested hard copy QOLs at appropriate intervals of...

NATURE AND SCOPE: NuFACTOR® facilitates the delivery of specialty pharmacy products and services for chronically ill patients throughout the United States. The Client Services Specialist is responsible for many aspects of the patient’s care. Including but not limited to on-going patient support services, obtaining patient update, orders, service needs, placing medication orders, coordination of clinical needs, understanding of Immune and Coagulopathy Disease states and their medication and management needs for home administration. The CSS is responsible for being the liaison between the patients and our contracted nursing partners as well as the other divisions of the company. The CSS partners with all other departments to proactively care for all aspects of our services that directly impact our patient services, corporate values and patient retention. PRINCIPAL ACCOUNTABILITIES: Promote the NuFACTOR® service model, product lines and positive corporate image....

Position Summary IT specialist with Microsoft Office 365 expertise who is ready to join a fast- paced environment. The Service Desk Systems Administrator will be proficient in Office 365 services & application support and have a strong administrative knowledge of the applications available in Office 365, including Exchange Online, MS Teams, OneDrive, Sharepoint and Microsoft Endpoint Manager (Intune). Must have experience managing Active Directory accounts and provisioning/deprovisioning accounts in Azure AD. Familiarity with Otka Single Sign-On and multifactor authentication highly desirable. Monitors systems performance to proactively alert responsible parties of potential or impending problems. Provides 1st echelon technical support to end users to maximize service levels in all areas which the Technology Department supports. Incumbent must possess the ability to install new client workstations and maintain existing hardware and software configurations is an absolute...

NATURE AND SCOPE: We are seeking a Contracts Manager to be responsible for participating, as a team member, in reviewing, editing, drafting, soliciting input from internal stakeholders, negotiating, managing and reporting on contracts with drug manufacturers, healthcare providers, GPOs, NDAs and other commercial agreements with respect to FFF Enterprises, Inc. and subsidiaries (“FFF”), specifically including FDI. In addition, the Contracts Manager will be responsible for taking a leadership role, in collaboration with other team members, in implementing and managing the contract management tool selected by the company. This tool is intended to enhance controls, efficiency and effectiveness around the FFF contracts ecosystem. Contracts Manager will be responsible for all types of core contracts to include, but not limited to: Distribution Agreements, GPO Agreements, with focus on Non-Disclosure Agreements, Customer Agreements, Purchase Orders, Supplier Agreements,...

NATURE AND SCOPE: This position is responsible and accountable for maintenance of financial records in accordance with company policy, GAAP, state and federal tax regulations. This includes the following areas of responsibilities: facilitate and manage income taxes, BPP taxes and R&D credits information, management of Fixed Assets, reconciliation and analyses of various general ledger accounts in conjunction with the month-end close, intercompany reconciliation and related intercompany accounting, assisting with month-end gross margin and operating expenses analyses, internal and external reports, inventory analyses, and other areas of responsibility as assigned by the Accounting Manager. This position will also be responsible to act as back-up for the monthly close process as it relates to admin fees and chargeback analyses, calculation of monthly and quarterly commissions, bad debt analyses and prepaid accounting. This position directly interfaces with department managers and...

GENERAL SUMMARY: The technician is responsible for all general HVAC maintenance and repair of HVAC problems throughout the facility in accordance with the standards of Pechanga Resort & Casino. FOUR DIAMOND SERVICE AGREEMENT: All Team Members will display a Four Diamond commitment to Customer Service through the delivery and maintenance of the Quality Standards established by Pechanga Resort and Casino. KEY RESPONSIBILITIES: Responsible for preventative maintenance; checks all HVAC, VAV, FPVAV, VFD and exhaust fans to assure that they are clean and in working order. Maintains a constant watch over all air conditioning and exhaust systems ensuring loads are balanced and ambient temperatures are within comfort levels. Maintenance includes, but is not limited to, HVAC equipment failure troubleshooting and repair, filter replacement, compressor service, belt replacement & semi annual service on the air handlers. Performs maintenance and service as...