- Guidehouse (San Marcos, CA)
- …from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...+ 1+ year's medical provider experience working with UB04, appeals & denials . + Hospital or EOB… more
- Robert Half Accountemps (Palo Alto, CA)
- …with the payers either by phone or via websites. Works payer denials based on claim process adjudication; Review accounts for possible underpayments; research ... contracts, guidelines and resolve payment with payer. Perform appeals with payer. Performs bad debt request transfers as applicable. Performs or requests adjustment… more
- Guidehouse (El Segundo, CA)
- …and three days from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...**What You Will Do** **:** The **Insurance Patient Account Representative ** **(Hospital Claims)** is an extension of a client's… more
- Sharp HealthCare (San Diego, CA)
- …are issued under the direction of the appropriate Medical Group Physician Representative .Collaborates with SCMG Medical Group Appeals when necessary. + Chart ... benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under… more