- J&J Family of Companies (Sacramento, CA)
- …relationship + Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding , and billing + Reimbursement or relevant managed care experience ... experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access acumen as it relates to payer… more
- Cardinal Health (Sacramento, CA)
- …training, mentorship, and performance evaluations for AR follow-up staff. + Coordinate with billing , coding , and other departments to address claim issues and ... Business, or related field preferred + 5+ years of experience in medical billing and insurance follow-up, with 2+ years in a leadership or supervisory role… more
- Robert Half Accountemps (Sacramento, CA)
- …contract-to-permanent position offers an excellent opportunity for individuals skilled in medical billing , coding , and payment posting. The role requires working ... during payment posting. Requirements * Proven experience in medical billing , coding , and payment posting. * Strong understanding of medical collections… more
- Providence (Oakland, CA)
- …includes the identification, investigation and correction of fraudulent and/or abusive billing and coding practices; coordination of recovery of overpayments ... related to fraudulent and/or abusive billing and coding practices; and providing education related to coding , medical record documentation requirements,… more
- Datavant (Sacramento, CA)
- …systems and software tools. The specialist serves as a key liaison between coding , billing , utilization review, case management, and payer relations to reduce ... and manage denials throughout the entire revenue cycle, including registration, eligibility, coding , billing , and medical necessity. + Analyze denial trends and… more
- Sutter Health (Sacramento, CA)
- …coding and diagnosis codes + Demonstrated ability to utilize official coding / billing resources including CPT/HCPCS references, OPPS Manual, NCCI, Manual, NUBC ... **CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR COC-Certified Outpatient Coding OR RHIT-Registered Health Information Technician OR RHIA-Registered Health… more
- Baylor Scott & White Health (Sacramento, CA)
- …workload to meet daily un-coded accounts receivable. + Is a resource for resolving billing edits using the National Correct Coding Initiative and Local and ... on position type and/or level **Job Summary** + The Coding Supervisor oversees one or more service lines of...National Coverage Determinations. Facilitates billing issues with Physician Fee Schedules (PFS) and informs… more
- Astellas Pharma (South San Francisco, CA)
- …programs, and offerings) to address challenges/opportunities. + Provide education on billing / coding and reimbursement (for buy-and-bill products) + Assist ... per defined expectations. + Buy-and-bill experience with knowledge of coverage, coding and reimbursement process for public and private payers, their respective… more
- Highmark Health (Sacramento, CA)
- …environment. **SKILLS** + Strong understanding of end-to-end RCM processes, including billing , coding , collections, claims processing, and payer relationships. + ... and a global workforce. + Knowledge of industry regulations, payment trends, coding changes, and payer requirements. + Proficiency with EPIC RCM software preferable… more
- Grant Thornton (Los Angeles, CA)
- …record of successfully managing projects related to revenue cycle optimization, including billing , coding , reimbursement, and claims processing, with a focus on ... and healthcare systems. This includes areas such as revenue cycle optimization, billing , and compliance with regulatory standards. From day one, you'll be empowered… more
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