- Sharp HealthCare (San Diego, CA)
- …improve compliance.The Auditor will analyze and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit risk ... oversight and maintenance of a high-quality, effective, best practices coding, billing , and reimbursement audit compliance program to prevent and detect violations… more
- Guidehouse (El Segundo, CA)
- …You Will Do** **:** The **Insurance Patient Account Representative** **(Hospital Claims )** is an extension of a client's business office staff. Representatives ... Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500 + Complete all business-related requests and… more
- Guidehouse (San Marcos, CA)
- …putting payments on an unapplied invoice. + Review of statements. + Review billing statements in lockboxes for address corrections and credit card payments. + Review ... workers compensation folders for remittances that need prepping for imaging. + Post and review special projects. + Records maintenance. + Assist opening mail when needed. + Maintain and shred lockbox statements, Viva remits and commercial remittance backup… more
- Robert Half Accountemps (Los Angeles, CA)
- …patterns in denials and recommend process improvements. * Work closely with the billing team to streamline claims submission and follow-up processes. * Stay ... This position is ideal for someone with expertise in medical billing and collections, particularly in surgical and outpatient care settings. Responsibilities:… 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 ... within 3M-CRS and those returned from the Business Office. Understands PFS coding/ billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner… more
- Insight Global (Irvine, CA)
- …billing and revenue cycle management - Proficiency with Paragon and related billing tools - Familiarity with claims processing software and clearinghouse ... platforms - Ability to process and submit claims quickly and accurately - Strong knowledge of Medicare Billing , Managed Medicare, and Managed Medi-Cal compliance more
- Elevance Health (Los Angeles, CA)
- …process improvement, project coordination in a high-volume managed care operation ( claims , customer service, enrollment and billing ); or any combination ... as AWS, GCP/CDP or Azure preferred. + Pharmacy Benefit Management Experience, Claims Experience, Experience reviewing data in Data warehouses strongly preferred. For… more
- Insight Global (Irvine, CA)
- …related to medical billing . Key tasks include: * Preparing and submitting billing data and medical claims to insurance companies in compliance with federal, ... guidelines * Preparing bills and invoices * Investigating and resolving billing denials and rejections * Completing payor-specific rules and regulations training… more
- Robert Half Accountemps (San Marcos, CA)
- …assist with month-end AR tasks Requirements + 2-5 years AR experience within medical billing + Understanding of EOBs, claims processes, and payer requirements + ... is hiring an Accounts Receivable Specialist with strong analytical ability, healthcare billing knowledge, and excellent follow-up skills. This role is ideal for… more
- Robert Half Accountemps (Duarte, CA)
- Description We are seeking a detail-oriented Medical Billing Collections Specialist to join our team and ensure accurate and timely management of claims for ... contributor to the revenue cycle, you'll handle critical tasks such as claims submission, denials management, and appeals, while ensuring compliance with Medicare,… more