- Guidehouse (San Marcos, CA)
- …Systems, Medical Records, Patient Access and all Ancillary Departments to ensure compliance / regulatory and accuracy of all billings. Responsible for the supervision ... to all tools. + Reviews 2% of billings for both quantity and quality. ** Compliance :** + Educates and ensures that all employees understand Compliance and… more
- Robert Half Accountemps (Valencia, CA)
- …you will contribute to maintaining strong relationships with vendors, ensuring compliance with company policies, and supporting internal reporting processes. This ... Review vendor invoices for accuracy, proper approval, and correct general ledger coding before processing. * Match purchase orders, packing slips, and vendor… more
- Umpqua Bank (Irvine, CA)
- …Bank tracked policies exceptions (TPE), tracked guidelines exceptions (TGE), procedures and compliance regulations; and (4) accurate loan coding consistent with ... and resources; ensures customer is approved for all ancillary products. + Demonstrates compliance with all bank regulations for assigned job function and applies to… more
- Element Consulting (Harbor City, CA)
- …accuracy and integrity of project budgets and financial forecasts, ensuring compliance with established cost management procedures and policies. * Collaborate with ... order requests, and change orders, PBAs for proper budget allocation, cost coding accuracy, and adherence to reporting and financial standards ensuring alignment… more
- Amgen (Huntington Beach, CA)
- …extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy. The PAL will work with numerous internal teams, ... for Horizon rare disease therapies, common prior authorization requirements, and coding and billings requirements + Provide access and reimbursement education based… more
- Dignity Health (Bakersfield, CA)
- …compliant denial notice for determination. - Escalates non-compliant cases to UM compliance and consistently reports on denial activities. - Collaborates with the ... Delegation Oversight Department and compliance for continued quality improvement efforts for adverse determinations....modify as appropriate. - Knowledge of ICD-10, CPT, HCPCS coding , medical terminology and insurance benefits. - Knowledge of… more
- Humana (Sacramento, CA)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
- Robert Half Office Team (Los Angeles, CA)
- …tenant, vendor, and property files, as well as insurance certificates, in compliance with established standards. * Oversee and coordinate the scheduling of ... and after-hours AC charges. * Handle accounts payable tasks, including coding invoices, liaising with vendors on payment statuses, and maintaining accurate… more
- Navy Federal Credit Union (San Diego, CA)
- …data + Write test cases and perform extensive peer testing + Ensure compliance with data governance, privacy, and security policies + Support testing in different ... Develop and maintain reusable Pega rules following best practices, guardrails, and coding standards + Assist DevOps or release management in packaging and deploying… more
- Highmark Health (Sacramento, CA)
- …pipelines in GitLab to effectively implement our IaC strategy and maintain compliance with our DevOps Team and practices. + **Collaboration & Communication:** ... needs. + **Technical Governance:** Enforce best practices for cloud security, compliance , and performance optimization. + **Mentorship & Development:** Mentor and… more