- Children's Hospital Los Angeles (Glendale, CA)
- …and collection matters. **Minimum Qualifications/Work Experience:** 1 year experience of hospital Billing and Collections required, including insurance and ... the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for...government payers. Previous experience with facility claims for inpatient and or outpatient billing … more
- TEKsystems (Martinez, CA)
- …a large public health plan, has a need for a contract to hire Director of Claims . The group includes 20 direct reports including 2 managers, Claims supervisor, ... includes support provider disputes, educationg providers and working through billing questions. The customer uses Epic Tapestry and you...you start the job: a large backlog of pending claims which are in jeopardy of pending interest, performance… more
- TEKsystems (Concord, CA)
- Claims Director About the Role: We're looking for a Claims Director to lead claims operations for Contra Costa Health Plan (CCHP), a large public health plan ... role overseeing a team of about 20 (including managers, supervisors, and claims staff). You'll drive strategy, optimize workflows, and ensure accurate, timely … more
- UCLA Health (Inglewood, CA)
- …patients receiving services at Venice Family Clinic. + Accurately process outpatient claims to third-party payers, following all mandated billing guidelines. + ... Provides quality control checks on paper claims ; processes tracers, denials, and related correspondence; + Initiates...of CMS and local carrier regulations and requirements for documenting/ billing physician services at a teaching hospital .… more
- Insight Global (Irvine, CA)
- Job Description This role will oversee and complete administrative responsibilities related to hospital and physician billing . Key tasks include: * Preparing and ... submitting billing data and medical claims to insurance companies in compliance with federal, state,...a reasonable accommodation due to a disability during the application or recruiting process, please send a request to… more
- Prime Healthcare (Lynwood, CA)
- …The Coordinator is responsible for gathering, reviewing, and approving internal billing claims ; setup, verification and updating insurance account information; ... 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St....verifying eligibility; preparing related billing claims data reports; coordinates Medical … more
- Elevance Health (Los Angeles, CA)
- …assurance environment preferred. + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement ... Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
- Elevance Health (Walnut Creek, CA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital -Acquired… more
- Sutter Health (Emeryville, CA)
- …confidence to senior leaders. The ideal candidate will bring extensive experience across both Hospital Billing (HB) and Professional Billing (PB), with deep ... of third-party reimbursement contract terms and adjudication, state and federal billing and collections regulations, compliance, claims processing methods,… more
- Norstella (Sacramento, CA)
- …working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) * Advanced understanding of the life ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...role with Norstella. Norstella is not responsible for an application that may be submitted by or through a… more