- Grant Thornton (Newport Beach, CA)
- …cycle optimization, including patient access, revenue integrity, coding, claims processing, billing , and reimbursement , with a focus on enhancing financial ... performance and operational efficiency. + Strong understanding of key healthcare regulations and initiatives, and the ability to evaluate organizational compliance with regulatory bodies such as the Office of Inspector General (OIG) and the Centers for… more
- Baylor Scott & White Health (Sacramento, CA)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, ... position will be supporting Hospital and Professional areas of billing compliance: . Conducts audits and assessments to ensure...plan with dollar-for-dollar match up to 5% . Tuition Reimbursement . PTO accrual beginning Day 1 Note: Benefits… more
- UCLA Health (Inglewood, CA)
- …+ Accurately process outpatient claims to third-party payers, following all mandated billing guidelines. + Provides quality control checks on paper claims; processes ... Procedural Terminology. + Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director. + Other duties may… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing and maximum payer reimbursement . They prioritize customer needs, ... claims. + Monitor and resolve revenue risks associated with payer setup, billing , rebilling, and reversal processes. + Policy Interpretation and Compliance: +… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and ... a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers +… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and ... a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers *… more
- Cardinal Health (Sacramento, CA)
- …leadership or supervisory role preferred. + Strong understanding of medical billing practices, payer guidelines, and reimbursement methodologies (commercial, ... simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections, with a strong emphasis on oncology practice needs.… more
- Robert Half Accountemps (Watsonville, CA)
- …pivot tables, lookups, and reconciliations. * Strong knowledge of healthcare reimbursement models and standard billing practices. * Exceptional attention ... focuses on maintaining accurate financial records, ensuring compliance with healthcare billing standards, and supporting organizational accounting needs. If you have… more
- Robert Half Finance & Accounting (Santa Ana, CA)
- …for loan amortizations and covenants. * Review tenant leases to ensure accurate billing , rent escalations, and reimbursement calculations. * Conduct Common Area ... Maintenance (CAM) reconciliations and process tenant billings, including lease-specific charges. * Ensure compliance with audit requirements, internal controls, and external regulations while assisting with tax filings and audits. * Identify opportunities to… more
- University of Southern California (Alhambra, CA)
- …arrangements, and patient accounting. + Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. + ... synchronization of data between the CDM residing in the billing system and CDM management tools . The Senior...Req Knowledge of other government and third-party payer reimbursement methodology required. + Req Must be able to… more