- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... APCs, and Modifiers-from Medicare, Medi-Cal, MAC, RAC, and commercial insurance companies -when there is refusal or rejection to...record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission. * Works… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy...claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their… more
- Cedars-Sinai (Torrance, CA)
- …as liaison between CSRC Services and Clinical Departments in the coordination of billing and reimbursement. Responds to patient, insurance company, and other ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... an unapplied invoice. + Review of statements. + Review billing statements in lockboxes for address corrections and credit...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Cedars-Sinai (Torrance, CA)
- …supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing ... and submitting claims to third party payors, performing account follow-up activities,...of regulatory requirements, payor contracts and CSHS policies governing billing and collections and sound interpretation of same. Incumbents… more
- HUB International (Monterey, CA)
- …judgment to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Produce binders, certificates, endorsements, ... for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our... community. **THE OPPORTUNITY:** The Personal Lines Client Service Specialist is responsible for providing exceptional service to our… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …or GED required . 1-3 years of experience in benefit verification, medical billing , health insurance , or specialty pharmacy. . Familiarity with commercial ... Benefits Verification Specialist Job Details Job Location Polaris Specialty Pharmacy...to specialty medications. This role is essential in verifying insurance coverage, identifying payer requirements, and facilitating prior authorizations.… more
- Option Care Health (Sun Valley, CA)
- …best and brightest talent in healthcare. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- Sleep Data (San Diego, CA)
- …pending equipment + Works competently in Brightree to access and retrieve patients, insurance , and billing information as needed + Supports the Clinical ... Fulfillment Specialist - HST Lincoln, RI (http://maps.google.com/maps?q=6+Blackstone+Valley+Place+Lincoln+RI+USA+02865) Apply Job Type Full-time Description Are you… more