- Ventura County (Ventura, CA)
- …appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. IDEAL CANDIDATE ... leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare , and Commercial Insurance , they ensure accuracy,...systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing Specialist … more
- Silicon Valley Power (Santa Clara, CA)
- …Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) and 1.45% ( Medicare ) of gross pay **Health Insurance :** + The City contributes up to ... **Office Specialist III** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/5143640) **Office Specialist III** Salary $86,781.00 -… more
- Scripps Health (San Diego, CA)
- …This role is essential in managing a high volume of hospital Government Insurance /Billing documents, while also performing follow up actions to gather accurate ... insurance and medical claims. As a Patient Account Specialist , you will be responsible for the following: *...EPIC software preferred. * Minimum two year experience billing Medicare , Medicaid, Blue Cross and Commercial insurance … more
- University of Southern California (Alhambra, CA)
- …rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare , Medi-Cal, MAC, RAC, and commercial insurance companies -when ... compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials'… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting… 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
- Polaris Pharmacy Services, LLC (Covina, CA)
- …+ Research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies, and all state Medicaid ... Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy...for processing + Perform other tasks as assigned. + Follow all applicable government regulations, including HIPAA + Comply… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …billing, health insurance , or specialty pharmacy. . Familiarity with commercial insurance , Medicare , Medicaid, and specialty drug coverage. . Knowledge of Rx ... 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
- Insight Global (San Leandro, CA)
- Job Description Job Responsibilities: * Responsible for all aspects of follow up and collections on insurance balances, including making telephone calls, ... and verifies payments. * Reviews billing documents to assure program compliance for Medicare , Medi-Cal, Mental Health, and insurance programs; assures that all… more
- MetroLink (Los Angeles, CA)
- …Medicare . You will contribute 1.45 percent of your pay to cover the hospital insurance portion of Medicare . Additional Medicare Hospital Insurance ... your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many...hire date or a qualifying event. GROUP TERM LIFE INSURANCE : SCRRA provides for an amount equal to one… more