- Alameda Health System (Oakland, CA)
- …in Nursing Required Experience: Three years of utilization review experience. Health insurance company and/or acute care hospital , post-acute and psych; three ... Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 +… more
- Cedars-Sinai (Los Angeles, CA)
- …Care contracts and reconcile to payments received. + Ensures appropriate insurance coverage and successfully collect underpayments from insurance carriers. ... + Analyzes and validates reimbursement for denied claims . Accurately and consistently document the results of all...results of all audits and subsequent adjustments in the hospital information system. + Identifies systemic payment errors and… more
- Ansible Government Solutions (San Francisco, CA)
- …the Release of Information (ROI) offices at various medical centers. + Scan insurance cards, protect secure information, and complete all insurance buffer (ICB) ... phone calls. + Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. + Review ambulance claims … more
- Defense Health Agency (Oceanside, CA)
- …Position:** This Physician (Family Practice) position is located at Naval Hospital Camp Pendleton in Oceanside, California.This is a Direct Hire SolicitationMedical ... malpractice liability insurance is not required for federal civilian healthcare providers...providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within… more
- Dignity Health (Rancho Cordova, CA)
- …to individual patient health information records for data retrieval analysis and claims processing. This position is expected to perform duties in alignment with ... into encoder and abstracting system. + Identifies non-payment conditions; Hospital -Acquired Conditions (HAC) Patient Safety Indicators (PSI) following report through… more
- TEKsystems (Fresno, CA)
- …+ Ability to work a flexible schedule as needed Top Skills: Medical billing, insurance claims , prior authorization, insurance coverage, patient collections, ... responsible for guiding patients through financial assistance options, verifying insurance coverage, and ensuring accurate collection practices for medically… more
- J&J Family of Companies (Los Angeles, CA)
- …solutions to key decision makers at all In-office Infusions (IOI), Hospital Outpatient Departments (HOPD), Infusion Therapy Providers (ITPs) and Alternate Sites ... processes such as eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals / grievances; practice management, as well as… more
- Maxim Healthcare (Monterey, CA)
- …and Basic Accidental Death & Dismemberment Insurance , Voluntary Group Life Insurance and Supplemental Accidental Insurance , Hospital Expense Protection ... & weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan with company matching +...Coordinates responses and processing of unemployment and workers' compensation claims + Responsible for working with the Revenue Cycle… more
- Cedars-Sinai (Torrance, CA)
- …established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital , Professional Fee billing and collections. Duties include but are not ... limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient account, reviewing and processing… more
- Cedars-Sinai (Los Angeles, CA)
- …Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating ... required. College lever courses in finance, business, or health insurance a plus. + A minimum of four years'...plus. + A minimum of four years' experience with hospital or professional billing and/or collections experience required. **Experience… more