- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the ... 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 (Los Angeles, CA)
- …Specialist will be tasked with managing and processing medical insurance claims for acute care facilities, ensuring accuracy and efficiency in collections. ... position offers an opportunity to utilize your expertise in UB-04 claims while collaborating with internal and external stakeholders to resolve outstanding… more
- Cognizant (Sacramento, CA)
- …and Java. + Integration:Develop and support integrations with external systems (eg, billing , claims , third-party providers) using web services and APIs. + ... Collaboration:Work with business analysts, solution architects, and QA teams to translate business requirements into technical solutions. + Testing & Debugging:Conduct unit testing, participate in integration testing, debug code, and resolve defects and… more
- Highmark Health (Sacramento, CA)
- …within the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing , and customer service. + Proven track ... record of successfully managing complex projects and delivering results on time and within budget. + Strong understanding of the market and competitive landscape. + Excellent communication, interpersonal, and presentation skills. + Demonstrated ability to… more
- Robert Half Accountemps (Los Angeles, CA)
- Description We are looking for a dedicated Hospital Medical Billing Associate to join our healthcare team in Los Angeles, California. The Hospital Medical Billing ... This is a Hybrid/Remote role someone with expertise in medical billing , collections, and insurance processes. Responsibilities: * Review submitted claims… more
- University of Southern California (Alhambra, CA)
- …and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission. * Works cooperatively with HIM Coding ... Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM,… more
- Robert Half Accountemps (Los Angeles, CA)
- …outpatient claims to third party payers, following all mandated billing guidelines. *Ensuring and meeting Timely Filing guidelines. *Performing all required ... duties within the patient accounting systems. *Review and submit claims for services rendered. *Interpreting payer contracts, processing contractual adjustments,… more
- Cedars-Sinai (Los Angeles, CA)
- …following established practices, policies, and guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts ... performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating… more
- UCLA Health (Inglewood, CA)
- …patients receiving services at Venice Family Clinic. + Accurately process outpatient claims to third-party payers, following all mandated billing guidelines. + ... Provides quality control checks on paper claims ; processes tracers, denials, and related correspondence; + Initiates appeals; drafts, composes, and submits appeal… more
- Cedars-Sinai (Los Angeles, CA)
- …post coding audit changes and assists with coding corrections needed from billing department. + Provides written summary reports of findings. + Coordinates and ... staff. + Assist in improved data quality for reporting and research, accurate billing and reimbursement of services rendered which overall improves the quality of… more