- Robert Half Accountemps (Los Angeles, CA)
- …Services Associate will play a crucial part in ensuring the accurate processing of cash receipts, managing patient eligibility reviews, and resolving recoupment ... in medical billing, coding, or collections. * Strong knowledge of medical claims , payment posting, and appeals processes. * Experience with insurance verification… more
- Walgreens (Pasadena, CA)
- …accordance with Walgreens standard operating procedures for entering, third party processing , filling, and dispensing prescriptions. + Assists pharmacists and other ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Huntington Beach, CA)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more
- Walgreens (Aliso Viejo, CA)
- …pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational… more
- Grant Thornton (Newport Beach, CA)
- …related to revenue 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… more
- Ventura County (Ventura, CA)
- …of intricate federal, state and local rules to ensure that expenditures, claims , fiscal protocols, and all supporting documentation are appropriate and will ... representative at various local and state work groups, committees and task forces, processing issues through both fiscal and policy lenses. + Reviews and assesses… more
- Humana (Sacramento, CA)
- …2 years of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with data query/data programming applications (ie ... SQL, Python) + Knowledge of data visualization tools (ie Power BI, QlikView, Tableau) **Additional Information** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and… more
- Cognizant (Sacramento, CA)
- …not limited to Robotic Process Automation (RPA) team, Process Excellence team, Claims team, Information Technology, and Human Resources to effectively develop and ... degree in business management preferred * 2+ years in enrollment processing or reconciliation preferred * Knowledge of Healthcare insurance regulations, Medicaid… more
- Edwards Lifesciences (Irvine, CA)
- …data governance activities, working with data stewards to ensure high-quality data processing and management. + Assist in identifying and integrating new data ... setting. + Strong proficiency in real world data (eg, Optum, IQVIA Claims , CMS, AcuityMD, Definitive Healthcare) and ability to communicate complex insights… more
- Humana (Sacramento, CA)
- …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... corporate environment and understanding of business operations + Bilingual in Spanish **Additional Information** **Work at Home Requirements** * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL… more