- Alameda Health System (San Leandro, CA)
- …roadmap, aligning with revenue cycle goals and regulatory compliance. + Analyze denials data (denial/remark codes) to identify trends, root causes, and areas for ... and payers to streamline data exchange and denial resolution through automated appeals , adjustments, and follow-ups. + Work with operations to establish key… more
- Robert Half Accountemps (Palo Alto, CA)
- …file appeals when necessary. + Review and resolve claim denials and rejections. + Process bad debt transfers, adjustments, and contractual write-offs. ... + Review worklists in EPIC and resolve claim edits. + Rebill claims based on denial follow-ups. + Post payments and adjustments; manage undistributed payment worklists. + Process refunds and payment transfers between billing systems. + Enter charges and… more
- Alameda Health System (San Leandro, CA)
- …other documentation; contacts with payers conducting phone reviews and initiates denial appeals as needed. + Encourages patients to develop realistic plans. Makes ... patients. Takes appropriate action when cases do not meet criteria - coordinates denials with the attending physician, and the UR physician advisor. Prepares case… more
- WelbeHealth (Modesto, CA)
- …DHCS and CMS guidelines and policies (for example, marketing guidelines and denials policies) + Create and conduct Medi-Cal enrollment events to attract prospective ... but not limited to share of cost, spousal impoverishment protections, and appeals processes **Job Requirements** + Bachelor's Degree in relevant field preferred, an… more