- Dignity Health (Bakersfield, CA)
- …oversee and manage research efforts related to claims overpayments, underpayments, and billing issues within a managed care service organization. This role involves ... is complete - Lead investigations into claims overpayments, underpayments, and billing issues, ensuring accurate identification and resolution of discrepancies. -… more
- Robert Half Office Team (Long Beach, CA)
- …status, and documentation to ensure services are appropriately covered. * Collaborate with billing teams and other departments to ensure compliance with Medi-Cal ... The ideal candidate will have a strong background in medical billing , insurance verification, and financial counseling. Responsibilities: * Conduct financial… more
- Highmark Health (Sacramento, CA)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
- EMCOR Group (Martinez, CA)
- …new hires, labor rate changes and classification changes as they pertain to project billing . + Ensure all company owned equipment is accounted for in Client (TRACK) ... and CCE billing systems. + Ensure all material is properly billed...gate log monitoring systems),** to ensure accurate workforce management, compliance , and invoicing. + Knowledge of project cost accounting… more
- Robert Half Accountemps (Palm Springs, CA)
- …contribute to the financial success of a hospitality organization by managing billing , payments, and account reconciliation processes. The ideal candidate will have ... actions. * Communicate professionally with clients and guests to address billing inquiries, disputes, and clarifications. * Collaborate with internal teams,… more
- Prime Healthcare (Ontario, CA)
- …payments to patient accounts accurately and efficiently. Distribution of all billing to appropriate personnel. Reviews and performs follow-up on all authorizations, ... applies the appropriate California and Federal regulations in order to assure compliance in payment practices. Responsible for posting all incoming payments to… more
- Cardinal Health (Fresno, CA)
- …knowledge of payer policies, coding changes, and reimbursement guidelines. + Ensure compliance with HIPAA and all relevant federal/state billing regulations. + ... for denial or reduced payment. + Document all collection activities in the billing system according to departmental procedures. + Follow up on unpaid claims within… more
- UCLA Health (Los Angeles, CA)
- …services units on revenue cycle systems, processes and procedures + Maintain compliance with government regulations, reimbursement issues, etc. + Analyze hospital ... billing claims within the EHR and claim scrubber system...with clinical and ancillary operational departments on correct coding, billing , and charging principles Salary Range: $76,200 - $158,800/annually… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Lead ... of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers* Research, analyze… more
- Caris Life Sciences (Sacramento, CA)
- …payer environment and its impact on physicians and ancillary providers. + Billing /Reimbursement support as it relates to patients, practices and hospital customers. ... "core" knowledge of competitive products, services, technology solutions, and reimbursement/ billing issues. + Provides necessary and appropriate post-sales service… more