- Stanford Health Care (Palo Alto, CA)
- …is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various ... class. This role requires a strong working knowledge of systems and processes. A PAR II is expected to...payer by phone or via the portal + Resolving claim edits + Reviewing payer variances and pursuing underpayments… more
- The County of Los Angeles (Los Angeles, CA)
- …be assigned to the Division or available in the County, State or Federal system for expert evaluation and counsel in problem areas. Persons appointed to a position ... power, emergency plans, fire drills, fire alarm and smoke detection systems , smoking regulations, automatic sprinkler systems , portable fire extinguishers,… more
- HCA Healthcare (Campbell, CA)
- …the lead on implementation of such contracts to ensure functions such as Claims System Configuration, Customer Service, Utilization Management and Compliance are ... team to ensure claims payments are accurate, and participate in claims system configuration audits as needed + Draft and prepare for review by the President… more
- The County of Los Angeles (Los Angeles, CA)
- …you list on a questionnaire and assign a score based on a standardized scoring system . This part of the assessment is worth 100% of your total score and assesses: ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...this questionnaire completely, correctly, and accurately. The experience you claim in this Supplemental Questionnaire MUST be consistent with… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health ... Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the...complete this questionnaire completely and correctly. The experience you claim in this supplemental questionnaire must be consistent with… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health ... Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the...solution of a variety of problems of organization, budget, systems and procedures, program, facilities planning, general management, and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …processing Researching and responding to provider calls regarding authorization or claim payment status Any other questions they may have Skills Required: ... codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural...including Excel, EZ Cap, Word, Outlook, and data entry systems **The current salary range for this position is… more
- Ankura (Los Angeles, CA)
- …Research and analyze project cost records and financial statements, including reconciling claim amounts to accounting systems . + Prepare comprehensive client ... projects. The ideal candidate will bring 7+ years of relevant experience in claims consulting to serve as a key technical expert and client relationship manager… more
- Insight Global (Santa Barbara, CA)
- …The ideal candidate will have hands-on experience with health plan financials, claims systems , and advanced data analysis tools. Key Responsibilities Collaborate ... into the ledger. Extract and translate data from QNXT claims processing system into feeds required by...for data manipulation, reporting, and projections. Assist in mapping claims and revenue data for financial systems … more
- Stanford Health Care (Palo Alto, CA)
- …CPT codes and modifiers as applicable for both the hospital and professional claim + Validate and process any medical necessity edits (local or national coverage ... + Process coding-related payer specific edits for the hospital and professional claim + Communicates effectively with provider teams across the organization; serve… more