- SanDisk (Milpitas, CA)
- …it needs to keep our world moving forward. **Job Description** Reporting to the Director of Revenue Operations, this individual will manage a team and own the global ... and Reporting teams and business partners from BU Finance, Sales Operations, Claims Settlement and IT teams. ESSENTIAL DUTIES AND RESPONSIBILITIES: + Manage the… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …monitor & report on work queue activity, encounter management, monitor electronic claims rejections & staff productivity reports. Compile & review monthly billing ... report packets for Director , Professional Billing. Analyze, track & trend any significant changes in prior months data providing root cause analysis of any… more
- The County of Los Angeles (Los Angeles, CA)
- …Core Practice Model, Resource Parent Appreciation Awards celebrations and Director 's Awards ceremonies. + Accompanies children to medical/dental/mental health ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more
- Emanate Health (Covina, CA)
- …STAR measures coding related functions. The coding specialist will work with the IPA Director , Health Plan, and MSO personnel on HCC and STAR measures related tasks. ... business. Coding specialist will be responsible to review medical records and claims data to ensure external physicians are documenting correctly and submitting the… more
- UCLA Health (Los Angeles, CA)
- …for multidisciplinary interventional pain management. + Report regularly to the Medical Director and collaborate closely with the Clinic Manager, Executive Team, and ... events, and clinic social events. + Complete medical documentation and visit claims data in the clinic's electronic medical record (EMR) system promptly and… more
- Danaher Corporation (Los Angeles, CA)
- …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... coding and reimbursement. + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement. + Respond to and… more
- The County of Los Angeles (Los Angeles, CA)
- …Emergency Medicine will be that training and/or experience approved by the Director of Health Services. Information pertaining to the completion of residency program ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for a late… more
- Gilead Sciences, Inc. (Foster City, CA)
- …The Senior Manager, Contract Process Excellence, will report to the Senior Director , Contract Process Excellence within Market Access Operations, and be responsible ... with government and commercial pricing programs that impact contract management and claims processing. + Proficiency with Model N, SAP, and Member Centric or… more
- Parker Hannifin Corporation (Irvine, CA)
- …and preparing appropriate responses. + Investigates and resolves assertions and claims or complaints by collecting and analyzing information. Coordinates with ... customer as needed. + Reviews customer solicitations and provides the Director , Contracts & Pricing, Senior CA-Lead, or other designated supervision interpretation… more
- Sharp HealthCare (San Diego, CA)
- …will analyze and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit risk analyzer software, OIG Work plan, CMS, ... experts, etc. + Policy and Procedure maintenanceWorks in collaboration with the Director and Manager of Compliance and System Management (HIM, CDI, Case Management,… more