- 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 Legal (Los Angeles, CA)
- …In this role, you will oversee personal injury cases, ensuring efficient claim processing , effective communication, and timely management of client needs. ... delivering exceptional client service. Responsibilities: * Process and open health insurance claims with accuracy and attention to detail. * Upload and organize… more
- LA Care Health Plan (Los Angeles, CA)
- …execution, reporting and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors. These ... timely and accurate deliverables to ensure financial solvency and claims processing compliance with regulatory and contractual...liaison for Centers for Medicare and Medicaid Services (CMS) claim audit section of LA Care delegates. Reviews and… more
- NTT DATA North America (Merced, CA)
- …and experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing . The ideal candidate will bring a strong understanding ... + Develop and maintain test plans with a focus on D-SNP-related claims processing scenarios. + Assess downstream implications of changes across the claims… more
- Robert Half Accountemps (Lynwood, CA)
- …Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing . + Prepare and analyze aging reports to ... may be available. Key Responsibilities: + Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party… more
- Cardinal Health (Sacramento, CA)
- …reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard ... administration, customer and vendor pricing, rebates, billing (including dropships), processing charge backs and vendor invoices, developing and negotiating customer… more
- Robert Half Accountemps (Palo Alto, CA)
- …debt transfers, adjustments, and contractual write-offs. + Review worklists in EPIC and resolve claim edits. + Rebill claims based on denial follow-ups. + Post ... Representative is responsible for accurate and timely billing, collections, payment processing , and account resolution for patient accounts. The Patient Account… more
- Wounded Warrior Project (San Diego, CA)
- …during active duty military service. The NSO guides and manages the preparation and processing of all claims and subsequent appeals through the Department of ... DoD and DVA laws and regulations when researching, filing, and closing benefits claims . + Working knowledge of all VBA electronic systems, including appeals. + Is… more
- Robert Half Finance & Accounting (San Ramon, CA)
- …employees in a timely fashion. * Oversee Worker's Compensation to include claims management; reporting, follow up with employees/ claim rep/nurse case manager ... Description General responsibilities: * Responsible for timely processing of weekly union and bi-weekly non-union payroll for approx. 120 employees. * Work closely… more