- LA Care Health Plan (Los Angeles, CA)
- …membership data by delegates on a monthly basis to assign the annual claim processing and financial solvency audits, adherence to regulatory requirements. ... Manages complex financial solvency audits to ensure quality deliverables, resolve audit issues, and issuance of final audit reports. Requests and follow-ups on Corrective Action Plans (CAPs) on non-compliant audit results. Develops, implements, and executes… more
- BrightSpring Health Services (San Diego, CA)
- …operations across assigned branches. . Ensure timely and accurate payroll processing and compliance with timekeeping policies. . Support billing processes to ... facilitate timely claim submission and reduce denials. . Participate in audits, surveys, and report preparation. . Maintain vendor contracts and records. . Respond… more
- Applied Materials (Santa Clara, CA)
- …your work transforms possibilities into groundbreaking realities, enabling faster processing speeds, expanded memory capacity, and unparalleled energy efficiency. At ... Taiwan + Experience related to IP enforcement and litigation, including claim construction, patent invalidity, and infringement analysis preferred + Familiar with… more
- Ascension Health (Redlands, CA)
- …to patient health records for purposes of document retrieval, analysis and claim processing . Responsibilities: + Abstract pertinent information from patient ... records. Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related… more
- The Cigna Group (Los Angeles, CA)
- …will primarily support the Pharmacists and Patient Care Team by processing prescriptions and handling operations tasks and requests. **Responsibilities:** + Manage ... inbound and outbound phone communications. + Document insurance claim rejections accurately. + Process prescription orders, including insurance billing and discount… more
- Deloitte (Fresno, CA)
- …Epic Tapestry application with external systems. Solid understanding of healthcare claim processing workflows, including eligibility, adjudication and payment ... processes. + Work command center shifts to investigate during go-live, document, and resolve break-fix tickets. + Expert in healthcare interoperability and compliance standards in healthcare, such as HIPAA, HL7 and FHIR. + Deeply experienced Epic analyst to… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …MINIMUM QUALIFICATIONS: Bachelor's Degree 2 years of experience - hospital billing, processing claim edits, denials, appeals and managing accounts receivable. ... Experience with Epic Resolute Hospital Billing or similar hospital billing systems. In lieu of Bachelor's: 5 years of experience in a lead/supervisory role OR 7+ years of progressive experience in revenue cycle accounts receivable for a large hospital or… more
- IQVIA (Los Angeles, CA)
- …+ Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) **The pay range ... for this role is $18.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.** **IQVIA** is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate,… more
- City and County of San Francisco (San Francisco, CA)
- …+ interpreting and applying rules, regulations, and policies; + creating and processing documents related to the financial or personal histories of clients; and ... must indicate on the application form the language(s) in which they claim proficiency. Applicants must meet the minimum qualification requirement by the final… more
- US Marine Corps (Twentynine Palms, CA)
- …law enforcement activities such as assisting the investigation of crimes, processing accident scenes, collecting evidence, and responding to emergency calls, ... when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation… more
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