- Sharp HealthCare (San Diego, CA)
- …Program or equivalent. + 1 Year Relevant experience in referral processing , discharge coordination, data entry, knowledge of medical terminology, eligibility, and ... HCPC coding using appropriate tools.Make determination on the more complex claims that are designated CC authorization level within SCMG TAT guidelines.Coordinates,… more
- Cedars-Sinai (Beverly Hills, CA)
- …with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the ... security measures are met. + Verifies member eligibility before processing authorizations. + Contacts facilities identified by the UM Nurses/Manager/Director/Medical… more
- Aveanna Healthcare (Seal Beach, CA)
- …and branch location personnel informed of any significant collection payer or processing issues. * Submits adjustments in an accurate and timely manner. * ... Tickets to correct and update client's invoices. * Works with Respite Biller to ensure claims are refiled and/or billed to the Regional Centers in a timely manner. *… more
- Norstella (Sacramento, CA)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... teams to develop and refine database queries, data pipelines, and processing workflows, incorporating AI/ML methodologies for advanced analytics. + Partner with… more
- The County of Los Angeles (Los Angeles, CA)
- …etc.) by hand, a personal computer, an iPad, a camera, and word processing software in order to document all work performed, required photographs, hours worked ... 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
- Cedars-Sinai (Los Angeles, CA)
- …may include preparing, indexing, and posting payments, performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, ... department and properly using activity codes. + Accurately billing multispecialty claims within established timelines and initiating dialog with payors, patients and… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …department, the Billing Representative is responsible for the full cycle of processing and maintenance of all third party and self-pay billing generated by ... performance in a variety of areas, including, but not limited to, and claims submission and adjudication and follow-up on outstanding receivables and denials. Using… more
- Robert Half Legal (Los Angeles, CA)
- …this role, you will oversee personal injury cases, ensuring efficient claim processing , effective communication, and timely management of client needs. The ideal ... delivering exceptional client service. Responsibilities: * Process and open health insurance claims with accuracy and attention to detail. * Upload and organize… more
- Ansible Government Solutions (San Francisco, CA)
- …phone calls. + Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. + Review ambulance claims ... write English. + Utilize computer programs appropriately, usually involving spreadsheets, word processing , etc.; log in; type 40-50 wpm with minimum errors. + Heavy… more
- UIC Government Services and the Bowhead Family of Companies (Los Angeles, CA)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more