- J&J Family of Companies (San Jose, CA)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing . . Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill,… more
- Walmart (Riverside, CA)
- …customer requests Respond to internal and external customer calls related to orders claims damages billing issues etc by researching and resolving systemrelated ... issues Perform daily administrative tasks including pass down reports billing user access coding filing etc Coordinate and support security measures to safeguard… more
- Humana (Sacramento, CA)
- …3 or more years of healthcare experience in revenue cycle management (related to billing , coding, collections for Medicare and Medicaid claims ) + Experience with ... federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators, coordinates… more
- HUB International (Ventura, CA)
- …insurance carriers. + Serve as client point of contact for day-to-day eligibility, claims , billing and benefit administration inquiries; acts as liaison between ... carriers. + Preparing quotes and proposals. + Assists client with all billing issues including auditing and reconciliation. + Gather data and prepare/conduct… more
- Cedars-Sinai (Los Angeles, CA)
- …understanding of regulatory requirements, payor contracts and Cedars-Sinai policies governing billing and collections and sound interpretation. The Team Lead will ... underpayments from insurance carriers. + Analyzes and validates reimbursement for denied claims . Accurately and consistently document the results of all audits and… more
- BrightSpring Health Services (Union City, CA)
- …Plus alternating weekends Our Benefits Include: + Competitive pay + Shift differential + Health, dental , & vision + Company paid STD & LTD + Paid Time Off + Flexible ... s computer system operations which may include order entry, billing , crediting, and updating medical records + Input s...Identifies and resolves issues of denials or follow-up of claims , by maintaining current knowledge of Medicaid claim… more
- Elevance Health (Costa Mesa, CA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Norstella (Sacramento, CA)
- …analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records ... Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or...Savings Accounts (HSA) or Flexible Spending Accounts (FSA) + Dental & Vision Benefits + Basic Life and AD&D… more
- University of Southern California (Los Angeles, CA)
- … claims processing functionality, benefit coverage, provider network, standard billing requirements; and HIPPAA regulations. . Knowledge and experience in ... and innovation. Manages and resolves human resource and member claims and plan related issues. . Plans and conducts...Health Plans department is tasked to oversee all medical, dental , vision and prescription care benefits for the university's… more
- Nevada County (Nevada City, CA)
- …benefits package including, but not limited to, CalPERS retirement, medical, dental , and vision insurance, life insurance, and flexible spending and dependent ... Death and Dismemberment plans + Optional Dependent Term Life + Optional Term Life Dental & Vision Insurance Nevada County employees can opt to receive dental … more