- Sanofi Group (Bakersfield, CA)
- …coding , financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion center ... patient pull though efforts. We are an innovative global healthcare company, committed to transforming the lives of people...payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication by site… more
- Elevance Health (Los Angeles, CA)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on… more
- Cedars-Sinai (Beverly Hills, CA)
- …reviewing and interpreting patient medical records using CPT and ICD10 coding systems. Technical understanding of Healthcare Data systems is needed. ... **Job Description** **Grow your career at Cedars-Sinai!** Cedars-Sinai Medical Center has been named to the Honor...Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner);… more
- University of Southern California (Los Angeles, CA)
- …as lead programmer and technical specialist on research projects that use administrative healthcare claims data. SAS is required. The programmer is an integral ... on research projects. + Experience with health data, including large administrative healthcare claims data from Medicare or private health insurance plans.… more
- Robert Half Office Team (San Marcos, CA)
- …experience, with healthcare or insurance strongly preferred. + Knowledge of medical billing, insurance claims , or clinical administration is a plus. + ... this opportunity is for you. Our client, a growing medical services provider in San Marcos, is seeking a...verification with patience and clarity. + Research and resolve claims -related issues, including prior authorizations, coding questions,… more
- Cardinal Health (Fresno, CA)
- …HCPCS, and CPT coding + Bachelor's degree, preferred in business administration, healthcare , or related field. + Minimum five years of experience in a medical ... Practice Operations Management oversees the business and administrative operations of a medical practice. The Revenue Cycle Management team focuses on a series of… more
- Cognizant (Sacramento, CA)
- …to be considered: *High school diploma or GED *Proven experience working in healthcare revenue cycle with specializing in hospital claims . *Expertise in ... you will perform advanced level work related to resolution of hospital claims . You will be responsible for resolving aged hospital accounts receivables, identifying… more
- Cardinal Health (Sacramento, CA)
- …team to ensure timely and accurate resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement ... evaluations for AR follow-up staff. + Coordinate with billing, coding , and other departments to address claim issues and...as the point of escalation for complex or high-dollar claims . + Stay current with payer policy changes, compliance… more
- Cedars-Sinai (CA)
- …rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine auditing ... including leading all aspects of the review for performance management and accurate coding . + Develops and supervise compliance with corrective action plans as a… more
- Cedars-Sinai (Los Angeles, CA)
- …of Benefits (EOB) statements. **Experience we are seeking:** + Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, Modifiers, procedure, bill ... Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's… more