- VetsEZ (CA)
- …platforms, we enable smarter decisions, seamless patient engagement, and more efficient claims management. Together, we are shaping a healthcare ecosystem that ... Intelligent Document Processing (IDP) pipelines to extract and validate data from claims , authorizations, and medical documentation. + Integrate LLMs and… more
- J&J Family of Companies (San Francisco, CA)
- …HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where...customer relationship. . Demonstrated expertise with both pharmacy and medical /buy & bill benefits (as applicable), coding ,… more
- J&J Family of Companies (Sacramento, CA)
- …Other duties may be assigned. + Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where...customer relationship + Demonstrated expertise with both pharmacy and medical /buy & bill benefits, coding , and billing… more
- Datavant (Sacramento, CA)
- …and compliance with payer regulations. This role requires in-depth knowledge of healthcare revenue cycle processes, HIM coding practices, and proficiency in ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...denials throughout the entire revenue cycle, including registration, eligibility, coding , billing, and medical necessity. + Analyze… more
- Robert Half Accountemps (Sacramento, CA)
- … billing, coding , and payment posting. * Strong understanding of medical collections and claims processes. * Ability to accurately process insurance ... position offers an excellent opportunity for individuals skilled in medical billing, coding , and payment posting. The...and patient payments within a healthcare system. * Familiarity with handling denials, recoups, and… more
- Robert Half Accountemps (French Camp, CA)
- …We are looking for a dedicated Patient Financial Services Supervisor to oversee medical billing operations in a healthcare environment. This long-term contract ... The ideal candidate will have a strong background in medical billing and coding , along with proven...coding is a plus. * Familiarity with electronic claims systems such as Epaces and other relevant tools.… more
- J&J Family of Companies (Irvine, CA)
- …and other study materials. + Conduct routine review of adverse events (AEs), medical coding , source documents, and subject narratives. + Contribute to drafting ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Scripps Health (San Diego, CA)
- …and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting ... an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of...all services, procedures, diagnoses, and conditions from medical records. Assists Revenue Integrity with coding … more
- Insight Global (Pleasanton, CA)
- …2+ years of experience specifically in Medicare billing. * Knowledge of CMS 1500 claims , CPT/HCPCS coding , ICD-10, and Medicare fee schedules. * Familiarity with ... responsible for the accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with… more