- Ventura County (Ventura, CA)
- …+ Description + Benefits + Questions Description Under direction from the Manager of Health Information Management, the Coding Supervisor will assist in the ... rate, compliance rate with quality standards and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders based on… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …entity/general ledger account using designated adjustment codes. Processes payments and denials with the correct denial/remittance codes and applies denials ... equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is… more
- Cedars-Sinai (Los Angeles, CA)
- …doing in this role:** The Team Lead oversees the Collections and Denials Management unit. Responsible for handling the day-to-day departmental operations, assigning ... lead role in the absence of the Supervisor or Manager . Assist in the training of staff on Cedars-Sinai...of 5 years of hospital billing and/or collection experience; Denials Management and Managed Care Contracts required. *Minimum of… more
- Alameda Health System (Oakland, CA)
- …a critical role in optimizing care delivery, reducing avoidable inpatient denials , and improving overall healthcare. **DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE: ... 16. Participate in orientation of fresh staff as requested by the Manager of Utilization Management. 17. Maintains knowledge of current trends and changes… more
- Sharp HealthCare (San Diego, CA)
- …preferably in a Managed Care setting. + Experience as a case manager or discharge planner interacting with managed care payers. **Other Qualification Requirements** ... not covered benefit and refer to Utilization Review Committee. Ensures that all denials for medical necessity are issued under the direction of the Medical Director… more
- UCLA Health (Los Angeles, CA)
- …Health. Under the supervision of the Faculty Practice Group Support Services Manager for CLIA Management and Licensed Expirables, you will coordinate all activities ... to CLIA Management (operational licensing and compliance) and finance-related issues ( denials , rejects, rebills, and updating the EHR). You will communicate with… more
- Alameda Health System (Oakland, CA)
- …McKesson Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. + Takes appropriate action when ... attending physician, and the Care Management physician advisor of any concurrent denials . + Prepares case reports; documents treatment plan, progress notes and… more
- TTEC (Irvine, CA)
- …Prepares and processes incoming payments + Processes exceptions, credit cards denials , incomplete applications, and incomplete transponder requests **What You Bring ... community is here for you as one dynamic, global family. You'll report to Manager . You'll contribute to the success of the customer experience and the overall… more
- UCLA Health (Los Angeles, CA)
- Description Under the general direction of the Manager , this position codes diagnosis and procedures for assigned cases. In performing the coding requirements this ... discrepancies between coded physician encounter forms and HIM coding and works on denials . As a Specialized Coder, the incumbent is responsible for utilizing a… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- Under the direct supervision of the Sr. Manager Billing/Revenue Cycle with fiscal oversight from the Finance and Accounting department, the Revenue Cycle Liaison is ... and claims submission and adjudication and follow-up on outstanding receivables and denials . Using standard and ad hoc reporting, the Revenue Cycle Liaison… more