- Ventura County (Ventura, CA)
- …general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance ... health record (EHR) systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing...more years 02 Describe your experience with billing and processing claims for timely reimbursement and compliance… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from ... electronic claim vendor processing , They are to correct...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- Insight Global (Burbank, CA)
- … claim by using the appropriate processes and procedures (eg claims processing policies and procedures, grievance procedures, federal mandates, CMS/Medicare ... and call policies and procedures while making sound claim /call decisions. Foster strong relationships through the resolution of...work experience - Minimum of four (4) years of claims processing - Minimum of four (4)… more
- Cardinal Health (Fresno, CA)
- …revenue by monitoring and pursuing payment for all unpaid and delinquent denied claims . They also act as a liaison between the provider, payors, and patients ... the LCD/NCD requirements. + Identify trends that inhibit timely claim submission for all centers. + Work closely with...interchange and the life cycle of primary and secondary claims . + Contribute to team efforts by accomplishing related… more
- Cardinal Health (Sacramento, CA)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with… more
- Molina Healthcare (San Diego, CA)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Cardinal Health (Fresno, CA)
- …GED or equivalent work experience, preferred + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare, ... Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances… more
- Ventura County (Ventura, CA)
- …POSITION: Under general direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing ... analyzes credits, payments, and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/payor within billing… more
- Movn Health (CA)
- …experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This is a hands-on, senior-level ... self-starter with a proven track record in A/R recovery, claim appeals, and payer follow-ups. Experience in startup environments...payer systems is essential. Functional Responsibilities + Submit clean claims via EHR to all payers within 24 hours… more
- Amazon (CA)
- …on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support One Medical's efforts to empower patients in resolving ... needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed according to the patient… more