- Prime Healthcare (Ontario, CA)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a… more
- Prime Healthcare (Redding, CA)
- …compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare , offers incredible opportunities to expand your horizons and be part of ... the nation for patient safety. Shasta Regional Medical Center delivers patient-centered healthcare with compassion, dignity and respect for every patient and their… more
- Sharp HealthCare (San Diego, CA)
- …calls in conjunction with management and Contract Reimbursement Specialist in reviewing claims processing and rejection issues that delay money collected and AR ... and resolve denied/underpaid accounts, and escalated payer trends/issues to ensure claims are processed and paid per the insurance contract.Other duties as… more
- Sharp HealthCare (San Diego, CA)
- …non-clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims , utilization review, appeals or member services in a managed care ... requests for assistance.Provides feedback to Customer Service, Enrollment, Provider Relations, Claims Research, and Health Services on issues and trends identified… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) ... review and analysis of Plan performance from summary data of paid claims , encounters, authorization logs, complaint and grievance logs and other sources. +… more
- Genesis Healthcare (Elk Grove, CA)
- …not limited those within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 21. Provides leadership and support for the Compliance ... also required. Posted Salary Range USD $50.00 - USD $59.00 /Hr. Genesis HealthCare , Inc. and all affiliated entities (collectively "Genesis") has a strong commitment… more
- Healthcare Services Group, Inc. (Sacramento, CA)
- …Type:Full-Time - Remote (20% Travel) Reports To: Human Resources Director Responsibilities Healthcare Services Group (HCSG) is currently seeking to fill the position ... of Absence (LOA), Wage & Hour, and Americans with Disabilities Act (ADA) claims , and general inquiries across multiple states using knowledge of federal and state… more
- Behavior Treatment & Analysis (Walnut Creek, CA)
- …companies and claim denials resolution. Key Responsibilities: + Prepare and submit claims to insurance companies, government agencies, and other payers every day. + ... all services rendered are appropriately billed. + Track and follow up on unpaid claims and denied claims . + Identify and resolve billing discrepancies. + Ensure… more
- Cedars-Sinai (Los Angeles, CA)
- …Los Angeles. We off an outstanding benefit package that includes paid time off, great healthcare , and a 403(b). Join us! Discover why US News & World Report has ... definition, applications development and maintenance and enhancements for finance, claims processing, revenue management, and billing systems. Primary duties… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical Directors, and… more