- Cedars-Sinai (Los Angeles, 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
- Alameda Health System (Oakland, CA)
- …Pharmacy, Per Diem, Varied shift days, 8hoursFeatured Job + Oakland, CA + Highland General Hospital + HGH Pharmacy - Retail + Services As Needed / Per Diem - Day ... of new patient referrals and with initiation of therapy. 5. Ensures pharmacy claims are being submitted accurately and correctly; reviews billing for specialty and… more
- Highmark Health (Sacramento, CA)
- …fraud investigations **Preferred** + 1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing, ... state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business +...+ Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency +… more
- Prime Healthcare (Ontario, CA)
- …team! Responsibilities The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and ... and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital… more
- The Cigna Group (Los Angeles, CA)
- …and other value-based reimbursements with hospitals and other providers (eg, Hospital systems, Ancillaries, and large physician groups). + Builds relationships that ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …all coding and billing elements. + Assists patient in addressing insurance payment questions. + Performs financial assistance screening for uninsured patients ... when applicable. + Coordinates resources to aid in direct patient payments of claims when necessary. + Utilizes a variety of technical platforms including the… more
- Medtronic (CA)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... biomedical engineering or nursing + Cath Lab, EP Lab, hospital /clinic, or cardiology experience + Experience teaching and educating...Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be… more
- Option Care Health (Sun Valley, CA)
- …assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + ... with market data. Pay Range is $22.55-$32.63 **Benefits:** -Medical, Dental, & Vision Insurance -Paid Time off -Bonding Time Off -401K Retirement Savings Plan with… more
- J&J Family of Companies (Fresno, CA)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... experience + Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. +… more
- J&J Family of Companies (San Jose, CA)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... experience . Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationships. .… more