- R1 RCM (CA)
- …significant portion in leadership (Manager or above). + Experience with E2E operations ( billing , coding , claims management, denial management, and AR). + Proven ... leadership experience, with the ability to lead large teams and manage department budgets. + Strong and broad understanding of Revenue Cycle Operations within a hospital setting. + Strategic vision and operational excellence across end-to-end solutions. +… more
- Scripps Health (San Diego, CA)
- …related issues. Promotes compliance with CMS, third party payers, NCDs and LCDs, coding , and billing regulations. Oversees the development and coordination of ... Cycle where you will have primary accountability for the oversight of Coding , Clinical Documentation Integrity (CDI) and Health Information Management HIM. The… more
- Cognizant (Sacramento, CA)
- …denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based on documentation. + Analyze denial reasons, correct ... Monday to Friday **Travel:** None required **About the role:** As an ICD-10 Coding Professional you will be responsible for reviewing/resolving coding denials in… more
- Sharp HealthCare (San Diego, CA)
- …on issues in assigned Epic Revenue Integrity work-queues.Follows-up with clinical, coding , billing and operational contacts to resolve revenue integrity ... + 2 years' experience with hospital and ambulatory care charging and coding practices, contractual payment schemes. + 1 year auditing and/or training experience.… more
- UCLA Health (Los Angeles, CA)
- …managed care IPA and provider reimbursement methodologies + Knowledge of physician/facility billing practices, CPT coding initiatives, ICD-10 coding ... standards, and revenue and HCPCS coding + Strong leadership, interpersonal, analytical, problem-solving, and prioritizing skills + Excellent oral and written communication skills + Ability to develop, implement, and evaluate methods and systems to improve… more
- HCA Healthcare (Los Gatos, CA)
- …verification and interviews for your patients prior to surgery + You will identify coding or billing problems from EOBs and works to correct errors in ... handling various business office functions. You will be responsible for billing , cash posting, chart preparation, cash posting, collections, insurance verification,… more
- HCA Healthcare (Thousand Oaks, CA)
- …verification and interviews for your patients prior to surgery + You will identify coding or billing problems from EOBs and works to correct errors in ... handling various business office functions. You will be responsible for billing , cash posting, chart preparation, cash posting, collections, insurance verification,… more
- Cardinal Health (Sacramento, CA)
- …insurance benefit practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience + 1-2 years experience with Prior ... Authorization and Appeal submissions + Ability to work with high volume production teams with an emphasis on quality + Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook and preferred Excel… more
- Cardinal Health (Sacramento, CA)
- …knowledge of Medicare (A, B, C, D) + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred + 1-2 years of experience with ... Prior Authorization and Appeal submissions + Must be able to manage multiple concurrent assignments + Must communicate clearly and effectively in both a written and verbal format + Ability to work with high volume production teams with an emphasis on quality +… more
- Adecco US, Inc. (Los Angeles, CA)
- …also reported quarterly to client. + Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, ... Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs. FRM will collaborate with internal and external stakeholders required to ensure timely and… more