- Scripps Health (San Diego, CA)
- …of charges so that all charges are submitted to result in maximum reimbursement while following applicable billing reimbursement regulations. Reviews ... and other third-party payor bulletins to keep current on billing requirements. Reimbursement Analysis duties include but...Analysis duties include but are not limited to: Assists Patient Financial Services billing personnel in resolving… more
- Stanford Health Care (Palo Alto, CA)
- …Families, etc.) + Skills/Abilities: + Experience resolving issues in financial reimbursement billing , utilization management and government programs + Prior ... to service. Clears low risk cases, escalates high-risk cases to coordinator or manager . Contacts patient regarding steps required to clear their appointment for… more
- Option Care Health (Hayward, CA)
- …A Nursing Supervisor is a licensed professional who provides direct and indirect patient care services under a physician's plan of care and in accordance with ... The Nursing Supervisor is responsible for providing and overseeing complete patient assessment, care planning, patient , and caregiver education, evaluating… more
- Naven Health (San Diego, CA)
- …Summary:** An Infusion Nurse I is a licensed registered nurse who provides basic direct patient care to patients in the home, or in an alternate infusion site, to ... ensure patient safety with continuity and compliance under a physician's...the nursing department to comply with established timelines for billing optimization. Completes all documentation legibly and applies approved… more
- Option Care Health (San Diego, CA)
- …Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ... ensure patient safety with continuity and compliance under a physician's...the nursing department to comply with established timelines for billing optimization. Completes all documentation legibly and applies approved… more
- Elevance Health (Walnut Creek, CA)
- …guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more
- Naven Health (Bakersfield, CA)
- …provides direct infusion care in the home or alternate treatment site, ensuring patient safety while providing continuity of care in compliance with the physician's ... under the direct supervison of their designated Regional Nurse Manager . The Infusion Nurse is responsible for the delivery...The Infusion Nurse is responsible for the delivery of patient care following the nursing process of assessment, diagnosis,… more
- Cedars-Sinai (Los Angeles, CA)
- …understanding of regulatory requirements, payor contracts and Cedars-Sinai policies governing billing and collections and sound interpretation. The Team Lead will ... collect underpayments from insurance carriers. + Analyzes and validates reimbursement for denied claims. Accurately and consistently document the results… more
- Alameda Health System (Oakland, CA)
- …appropriate use of healthcare resources while maintaining high- standards of patient care. This role involves evaluating medical necessity, assessing treatment ... individual in the classification. 1. Acts as a liaison between payers, billing , and medical staff by supplying appropriate medical information to determine level… more
- UCLA Health (Santa Monica, CA)
- …working in a medical office. + Familiarity with current patient billing practices and governmental programs to ensure reimbursement . + Experience scheduling ... Answer high volume of phone calls and assist with patient inquiries + Register patients and verify insurance coverage...and orderly manner at the direction of the Office Manager . + Working knowledge of medical terminology and diseases,… more
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