- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare, Medi-Cal, MAC, RAC, and commercial insurance companies -when there is refusal or rejection to honor Keck Medicine… more
- LA Care Health Plan (Los Angeles, CA)
- …of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines. Manages a ... professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health… more
- Stanford Health Care (Palo Alto, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal ... Specialist II plays a critical role in the Revenue...accurate resolution of appeals, ultimately contributing to the financial health of the organization. There are three (3) career… more
- HCA Healthcare (Campbell, CA)
- …worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means ... team. **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical ... evaluations on claims that require additional review based on medical condition,...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- HCA Healthcare (Campbell, CA)
- …purpose and integrity. We care like family! Jump-start your career as a Health Plan Economics Specialist today with HCA Healthcare. **Benefits** HCA Healthcare ... vary by location._** Come join our team as a Health Plan Economics Specialist . We care for...Claims departments + Provide support for and attend health plan Joint Operating Committees + Attend Health… more
- LA Care Health Plan (Los Angeles, CA)
- …California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National ... Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department:...(Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company...Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending… more
- Option Care Health (Sun Valley, CA)
- …feel Option Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to prepare patients for OCH ... -Flexible Spending Accounts -Tuition Reimbursement -myFlexPay -Family Support -Mental Health Services -Company Paid Life Insurance -Award/Recognition Programs… more
- University of Southern California (Newport Beach, CA)
- …+ Pref Knowledge of medical terminology. + Pref Knowledge of the health insurance industry and claims processing. Required Licenses/Certifications: ... The Clinical Authorization Specialist will take the lead in securing medical...+ Submit pre-certification/pre determination documentation to third party payers/payers insurance carrier for authorization with correct CPT and ICD… more