- University of Southern California (Alhambra, CA)
- …compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials' ... CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare, Medi-Cal, MAC, RAC, and commercial insurance companies -when there is refusal or rejection to honor Keck Medicine… more
- Robert Half Accountemps (Vista, CA)
- …company in Vista, is looking for a highly analytical and detail-focused Accounts Receivable Specialist to join their finance team. This role is ideal for someone who ... departments to maintain healthy cash flow. You will be handling complex billing cycles, reviewing contract terms, reconciling discrepancies, and serving as an… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and ... billing issues within a managed care service organization. This...employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a… more
- Robert Half Accountemps (Loma Linda, CA)
- Description Position Summary: The Business-to-Business (B2B) Collections Specialist is responsible for managing and executing collection activities for outstanding ... from commercial clients. This role ensures timely payments, resolves billing discrepancies, and maintains positive client relationships while minimizing financial… more
- Robert Half Accountemps (Manhattan Beach, CA)
- Description We are looking for a detail-oriented Medical Collector Credentialing Specialist to join our team in Manhattan Beach, California. The Medical Collector ... Credentialing Specialist will play a pivotal part in ensuring providers...ensuring providers are properly credentialed with Medicare and commercial insurance plans. The right person must be strong with… more
- Scripps Health (San Diego, CA)
- …meet deadlines. * Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, ... Join a caring team supporting Scripps Clinic - Torrey Pines as a Scheduling Specialist in the Ophthalmology department. You'll be on the front line for creating a… more
- Sanofi Group (Fresno, CA)
- …understanding of the reimbursement process, navigation of health care systems, billing /coding guidelines, insurance plans, payer trends, internal and external ... **Job Title:** Case Management Specialist **Location:** California **About the Job** Across the...CMS proactively identifies and mitigates access barriers, coordinates with insurance providers, specialty pharmacies, and local resources as needed.… more
- Scripps Health (San Diego, CA)
- …environment. * Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, ... team supporting Scripps Memorial Hospital La Jolla as a Patient Service Specialist in the Patient Financial Services/Access & Admitting department. You'll be on… more
- Aston Carter (Valencia, CA)
- Job Title: Senior Client Engagement Specialist Job Description The Sr Client Engagement Specialist acts as the primary liaison between the company and its major ... schedule changes, providing post-sale support, preparing price quotes, and resolving billing disputes. The role demands strong ERP and Microsoft Office skills,… more
- Robert Half Accountemps (Vista, CA)
- …construction and contracting company in Vista is seeking a Collections Specialist to manage outstanding receivables and support project accounting operations. This ... fast-paced, team-oriented environment and enjoys the challenge of resolving complex billing issues. Key Responsibilities: + Manage collection efforts for commercial… more