- Robert Half Accountemps (Los Angeles, CA)
- …Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist . The Surgery Medical Billing Collections Specialist must have at least 2 ... years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. DUTIES… more
- Transdev (San Jose, CA)
- Transdev in San Jose is hiring an ADA Eligibility Specialist . The ADA Eligibility Specialist is responsible for reviewing ADA paratransit application materials, ... to determine eligibility for ADA paratransit service. The ADA Eligibility Specialist is also responsible for maintaining accurate documentation and providing final… more
- Datavant (Sacramento, CA)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing,...SSI, Availity, and payer portals. + Submit and track appeals with payers, ensuring all documentation and deadlines are… more
- Illumination Foundation (Santa Ana, CA)
- …the Inland Empire. Job Description The role of a Billing Claims Specialist involves overseeing the billing process for customers or patients, processing payments, ... and ensuring accurate billing and claims submissions. In addition, the Claims specialist is also responsible for keeping account receivables for CalAIM current,… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... and procedures regarding access to care, the grievance and appeals process, the eligibility process, etc. + Remains updated...ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care **Department** : MNS Managed Care… more
- Emanate Health (Covina, CA)
- …in the United States, and the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by Denial Manager. The ... Denial Specialist will possess and apply thorough knowledge of collections...patient account that is involved in the audit and appeals process to accurately complete accounts receivable reconciliation. **Minimum… more
- Emanate Health (Covina, CA)
- …and all other non-governmental third-party payers. Duties include collections, appeals , billing, adjustments, EOB review, correspondence and managing all types ... setting, with strong emphasis on managed care contract and appeals /underpayment collection activities. Excellent customer service skills. Knowledge of collection… more
- CVS Health (CA)
- …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical ... written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals . - Ensures all compliance requirements are satisfied and all… more
- Genentech (South San Francisco, CA)
- …Position** The Genentech Litigation Team is seeking a **Senior Litigation Counsel Specialist , Assistant General Counsel** **.** We are looking for a strategic ... + Independently managing an active and varied caseload of litigations, appeals , and other adversarial proceedings, while advising on substantive legal strategy… more
- Cedars-Sinai (Los Angeles, CA)
- …and provide back-up coverage. In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge ... the most. **Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** : Cedars-Sinai… more