- Cardinal Health (Sacramento, CA)
- …reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- LA Care Health Plan (Los Angeles, CA)
- …knowledge of claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- UCLA Health (Los Angeles, CA)
- …Microsoft Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius ... government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors, edits,… more
- Robert Half Accountemps (Los Angeles, CA)
- …and manually, as needed, and uses all technology available to produce clean claims . * Interprets claims processing reports and applies information ... information as necessary in order to produce a clean claim . * Meets or exceeds productivity standards in the...ability to analyze coding to assure proper billing of claim . * Participates in a variety of hospital educational… more
- Cardinal Health (Sacramento, CA)
- … + Preparing, reviewing and billing claims via electronic software and paper claim processing + Insurance claims follow up regarding discrepancies in ... administration, customer and vendor pricing, rebates, billing (including drop-ships), processing charge backs and vendor invoices, developing and negotiating… more
- Cognizant (Sacramento, CA)
- …will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a ... + Perform **back-end queries** and validate configuration setups to ensure accurate claim processing . + Advise clients on **configuration decisions** in… more
- Sedgwick (Pasadena, CA)
- … claim files. + Processes packets. + Conducts computer data entry and processing ; documents claim files in the system correctly. + Prepares spreadsheets and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- The County of Los Angeles (Los Angeles, CA)
- …five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of ... Submitting your DD214 promptly helps ensure smooth and timely processing . Out of Class experience will not be accepted...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …+ Transact and document inventory movements and reconciliations, return and claim approvals, and product destructions. + Manage inventory reporting and communicate ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sharp HealthCare (San Diego, CA)
- …cash to patient invoice.Accurately identify a patient credit for immediate processing .Accurately identifies appropriate ANSI rejection code to post for all zero ... + The position need to be able to determine the processing of rejection codes and how to move a claim forward. + There is also the need to have familiarity… more
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