- Cedars-Sinai (CA)
- …IT team. Two (2) plus years of Epic report development experience. Physician Billing , Epic Tapestry, AP Claims , and Population Health experience highly desired. ... **Educational/Certificate Requirements:** High School Diploma/GED. Bachelor's degree in Computer Science or related field, preferred. Epic Certification (Clarity, Reporting, and/or RWB), preferred. \#LI-Hybrid **Req ID** : 10337 **Working Title** : Manager,… more
- Robert Half Accountemps (Los Angeles, CA)
- …long-term contract position ideal for someone with expertise in medical billing , collections, and insurance processes. Responsibilities: * Review submitted claims ... and take corrective action. * Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary. * Resubmit… more
- Molina Healthcare (CA)
- …to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and ... appropriateness of responses per state, federal and Molina guidelines. * Meets claims production standards set by the department. * Applies contract language,… more
- CVS Health (Sacramento, CA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Oracle (Sacramento, CA)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for ... clinical validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities to… more
- LA Care Health Plan (Los Angeles, CA)
- …One (1) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, this position will ... to telephonic and electronic inquiries and concerns on all products and paid/unpaid claims . Ensure that accurate information is being given to the provider in a… more
- UCLA Health (Los Angeles, CA)
- …will be responsible for: + Accurately processing of Inpatient and Outpatient claims to all payers, specifically government and commercial payers + Interpreting payer ... of late charge process + Primary, secondary, and tertiary billing + Verifying benefits and eligibility + Applying all...+ Verifying benefits and eligibility + Applying all mandated billing guidelines + Meeting timely filing guidelines + Performing… more
- ITW (Buena Park, CA)
- …needed. + Invoicing: Generate and manage invoices, ensuring timely and accurate billing . + Billing Discrepancies: Identify and resolve any discrepancies in ... Not Posted/Billed: Identify and resolve approval errors to ensure timely billing . + Credit/Rebills and Write-Off Management: Handle credit and rebill transactions… more
- AON (Los Angeles, CA)
- …+ Responsible for client service for assigned book of business including billing , policy collection, review and transmittal in accordance with established service ... including technical writing and verbal presentation skills. + Establish understanding of claims administration process and utilize the claims and legal advocacy… more
- Cedars-Sinai (Los Angeles, CA)
- …supervision and following established practices, policies, and guidelines, provides billing support to Patient Financial Services, performing duties which include ... reviewing and submitting claims to third party payors, performing account follow-up activities,...in the specific department(s) below: Department Duties and Responsibilities billing through charge capture to maximize reimbursement. Responds to… more