- Prime Healthcare (Redding, CA)
- …missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of professional fee ... . Responsibilities The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for … more
- Cedars-Sinai (Torrance, CA)
- …of employee engagement. We provide an amazing benefits package that includes health care, dental , vision, paid time off and a 403(b). Discover why US News & World ... policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections. Duties include but are not limited to, reviewing… more
- Cedars-Sinai (Los Angeles, CA)
- …solution definition, applications development and maintenance and enhancements for finance, claims processing, revenue management, and billing systems. Primary ... submission and resolve discrepancies in claim submissions. + Maintaining interim claim billing profile. + Generate regular reports on claims status, rejections,… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Lead Prior ... claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their...the business. BENEFITS for full time Employees + Medical, Dental , and Vision insurance + 401 (k) (available for… more
- Elevance Health (Walnut Creek, CA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- AON (San Francisco, CA)
- …terms, and pipeline status using internal tools and systems. + Work with the billing team to prepare client invoices and manage billing process. + Participate ... Skills and Experience Preferred: + Commercial insurance experience (eg underwriting, broking, claims , or a support role). + Familiarity with mergers & acquisitions,… more
- AON (Los Angeles, CA)
- …+ Responsible for client service for assigned book of business including billing , policy collection, review and transmittal in accordance with established service ... including technical writing and verbal presentation skills. + Establish understanding of claims administration process and utilize the claims and legal advocacy… more
- Cedars-Sinai (Torrance, CA)
- …supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing ... and submitting claims to third party payors, performing account follow-up activities,...of regulatory requirements, payor contracts and CSHS policies governing billing and collections and sound interpretation of same. Incumbents… more
- Guidehouse (Ojai, CA)
- …assigned Work-queues, dashboards and reports. + Analyze, root cause and resolve billing errors, denials and discrepancies. + Process and submit insurance claims ... exceed $15 million + and follow up on unpaid claims . + Confers with senior professionals or directors on...patient insurance coverage and eligibility, manage finances, and oversee billing and patient fees. + Develop goals and objectives… more
- Guidehouse (El Segundo, CA)
- …CA or El Segundo, CA offices and three days from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow team members when needed ... You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily...and ICD-10 in a fast-paced environment. + Proficiency researching billing guidelines + Providing training and mentoring to team… more