- Ventura County (Ventura, CA)
- …a Bachelor's Degree in Health Information Management, strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification ... and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders based on...skill with Excel + Must have a current Certified Coding Specialist (CCS) certification + Possession and… more
- Stanford Health Care (Palo Alto, CA)
- …and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and ... Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position...required within 180 Days or + CCS - Certified Coding Specialist required within 180 Days or… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...the following: + Ensures accuracy and compliance with billing, coding , and follow-up requirements and identifies overpayments and lack… more
- Robert Half Accountemps (Santa Barbara, CA)
- Description We are looking for a meticulous Medical Billing Specialist to join our team in Santa Barbara, California. This long-term contract position offers an ... authorizations or pre-certifications for radiology procedures, maintaining accuracy in coding and documentation. * Follow up proactively with insurance providers… more
- Datavant (Sacramento, CA)
- … practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding , billing, utilization ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
- Insight Global (Pleasanton, CA)
- Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for the ... accounts and resolve payment discrepancies. * Identify underpayments and coordinate appeals or resubmissions. * Maintain current knowledge of CMS and Medicare… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... including leading all aspects of the review for performance management and accurate coding . + Develops and supervise compliance with corrective action plans as a… more
- Emanate Health (Covina, CA)
- …in the United States, and the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by Denial Manager. The ... Denial Specialist will possess and apply thorough knowledge of collections...patient account that is involved in the audit and appeals process to accurately complete accounts receivable reconciliation. **Minimum… more
- Cedars-Sinai (Los Angeles, CA)
- …and provide back-up coverage. In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge ... **Experience we are seeking:** + Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, Modifiers, procedure, bill type, diagnosis, and revenue codes).… more
- LA Care Health Plan (Los Angeles, CA)
- …dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances and Appeals response letters to ... Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the… more