- Rady Children's Hospital San Diego (San Diego, CA)
- …Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of ... 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
- Rady Children's Hospital San Diego (San Diego, CA)
- …service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor ... JOB SUMMARY: Under the direction of the Manager, Professional Billing & Coding, the Billing & Collections...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible 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 ... Customer Solution Center Service Representative III Job Category: Customer Service Department: Customer...this includes (but not limited to): general inquiries on claims processing , payment status and appeal and… more
- Dignity Health (Merced, CA)
- …utilize all reimbursement tools including payer contracts and all relevant electronic claims processing and reimbursement tools available. + Assists colleagues ... Patient Account Representative is responsible for performing the medical billing and collection functions for the Patient Financial Services department using a… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their...training needs* Prepare and maintain reports and records for processing * Perform other tasks as assigned.* Follow all applicable… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- ITW (Buena Park, CA)
- …indirect supervisory responsibilities. **QUALIFICATIONS** The requirements listed below are representative of the knowledge, skill, and/or ability required to ... Review and approve work orders to ensure accuracy and completeness before processing . Escalate any corrections needed. + Invoicing: Generate and manage invoices,… more
- CVS Health (Sacramento, CA)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- ZOLL Medical Corporation (Riverside, CA)
- …requirements and workflows to achieve operational efficiencies. + Responsible for improved claims billing yield within a defined geography consisting of assigned ... and other value propositions based on ZOLL products and services.Ensure timely processing of required documentation to prevent delays in the appropriate provision of… more
- Sunrise Senior Living (Westlake Village, CA)
- …Process payroll and follow established business processes and "Do It Daily" processing activities and submit accurate bi-weekly payroll by established schedule. + ... internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate and… more
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