- CVS Health (Sacramento, CA)
- …setup, essential for online viewing and processing, related to customer service, claims , enrollment, billing , and reporting, in support of internal and ... external partners. + Ability to utilize Meritain's proprietary system for analytical coding of detailed customized plans, rather than standard offerings. + Develops and executes implementation strategy consistent with client expectations; ensures strategy is… more
- Grant Thornton (San Francisco, CA)
- …related to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing, billing , and reimbursement, with a focus on ... enhancing financial performance and operational efficiency. + Strong understanding of key healthcare regulations and initiatives, and the ability to evaluate organizational compliance with regulatory bodies such as the Office of Inspector General (OIG) and the… more
- HUB International (San Ramon, CA)
- …resolve service issues. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues.* Identifies opportunities for cross-sell and ... up-sell of other HUB products and services when appropriate for the clients needs. Documents other insurance products and services the clients are purchasing through other providers and who those providers are.* Maintains accurate and organized account files… more
- Norstella (Sacramento, CA)
- …analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records ... field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or industry setting. +… more
- Cedars-Sinai (CA)
- …Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... or professional billing and/or collections experience required. + Professional billing experience in claims highly preferred. **Why work here?** Beyond… more
- Cardinal Health (Fresno, CA)
- …and optimize the practice's revenue cycle, from prior authorization through billing and collections._ The Revenue Cycle Supervisor is responsible for generating ... 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 for… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …to renewal on 11/28/2025.** JOB SUMMARY: Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… more
- Robert Half Accountemps (Encino, CA)
- …must have at least 3 years of experience in the healthcare industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for ... services rendered. DUTIES AND RESPONSIBILITIES -Performs full cycle billing functions for Surgical detail-oriented fees. -Verify patient eligibility, authorization… more
- J&J Family of Companies (Los Angeles, CA)
- …regulations and processes such as eligibility and benefit verification, pre-authorization, billing , coding, claims , and appeals / grievances; practice ... office managers, Clinical Staff (RNs, LPNs / LVNs, NPs, MAs, PAs), billing staff; hospital administrators, CFOs, billing and collections staff, clinical… more
- Molina Healthcare (Long Beach, CA)
- …abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . + Manages a caseload of claims . Procures all medical records ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls...claim records. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in… more