- Cedars-Sinai (Los Angeles, CA)
- …Information Systems, Coding, Pricing and ability to understand governmental billing guidelines and transmittals and non-governmental payor guidelines. Ability to ... understand billing practices, medical records and charge audit methodologies. Excellent...include: documentation of procedures, supplies, equipment use, time, charge claims reimbursement cycle relative to the Charge Description Master… more
- Abbott (Livermore, CA)
- …solid understanding of payor agreement contracting principles as well as billing , reimbursement, compliance, and auditing guidelines and requirements **What You'll ... guidance on DMEPOS and IDTF operations and related standards, including billing , reimbursement, auditing, and compliance program activities; + Offering advice on… more
- The County of Los Angeles (Los Angeles, CA)
- …and assists patients in making assignments for medical benefits and completes standardized billing forms based upon data acquired. In the County of Los Angeles, ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...in making assignments for medical benefits and completes standardized billing forms based upon data acquired. In the County… more
- The County of Los Angeles (Los Angeles, CA)
- …was not accepted for recordation. Perform cashiering functions by collecting or billing customers for all applicable taxes and fees, providing certified or conformed ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- UCLA Health (Los Angeles, CA)
- …you will manage a designated portfolio of inpatient and outpatient claims , ensuring effective and efficient collection efforts. Your primary responsibilities ... payers to resolve reimbursement discrepancies. + Diligently following up on claims to ensure timely resolution. + Communicate with insurance providers, patients,… more
- Kemper (Cerritos, CA)
- …on assigned cases Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy for case handling in ... memorandums. + Prepares and submits timely status reports to claims handlers on all significant activities as they occur,...of case management software for maintaining notes, diary, calendar, billing , etc., on cases assigned to Staff Counsel and… more
- University of Southern California (Los Angeles, CA)
- … claims processing functionality, benefit coverage, provider network, standard billing requirements; and HIPPAA regulations. . Knowledge and experience in ... standards of quality and innovation. Manages and resolves human resource and member claims and plan related issues. . Plans and conducts quality assurance reviews… more
- Guidehouse (San Marcos, CA)
- …Marcos office and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance ... Follow-up + Customer Service + Billing + UB-04 **Duties & Responsibilities** + Complete all...with UB04, appeals & denials. + Hospital or EOB claims emphasis + PC skills in a Windows environment… more
- Evolent (Sacramento, CA)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- BrightSpring Health Services (Union City, CA)
- …der system + Perform s computer system operations which may include order entry, billing , crediting, and updating medical records + Input s daily orders (new and ... Identifies and resolves issues of denials or follow-up of claims , by maintaining current knowledge of Medicaid claim...Skilled in performing detailed work + Knowledge of Medicaid claims regulations and processes + As required by state,… more