- TEKsystems (San Bernardino, CA)
- …balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care , Medicare and Medicaid insurance is preferable. Schedule: ... 7:00am-4:00pm PST - CANDIDATES MUST SIT IN PST Job Description: * Researches each account using company patient accounting applications and internet resources that are made available. * Conducts appropriate account activity on uncollected account balances with… more
- Prime Healthcare (Ontario, CA)
- …Account Rep I is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. ... Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital's receivables. Proactively works with payers and in-house resources to identify… more
- Cardinal Health (Fresno, CA)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... Athena, G4 Centricity, etc.) and Microsoft Office Suite. + Excellent verbal and written communication skills. + Ability to work independently and manage time effectively. + Detail-oriented with strong analytical and problem-solving skills **Anticipated hourly… more
- Prime Healthcare (Ontario, CA)
- …time in office. LI-VR2 #Onsite Qualifications + Minimum of three years hospital managed care /commercial collector experience. + 2 years of recent hospital ... Medicare billing experience in an automated environment. + Associates degree or equivalent work experience required. + Knowledge of contract interpretation. + Familiar with hospital billing requirements. + Knowledge of out of state Medicaid billing guidelines.… more
- Merck (Sacramento, CA)
- …and models teamwork with extended members of the Virology Account Team (CLs, CTLs, Managed Care , Marketing) in the development of long-term account plans and ... customer centric solutions to improve value for both customers and patients. + Demonstrates the ability to embrace and maximize current and future technological capabilities and multi-channel opportunities to engage customers. + Demonstrates high-level… more
- ManpowerGroup (Placerville, CA)
- …and enrollment presentations to beneficiaries. + Assist individuals with enrollment/disenrollment in managed care plans. + Maintain accurate documentation in CRM ... systems and transmit data per policy. + Support community events and health fairs to promote program awareness. + Collaborate with county staff and community groups to ensure program success. **What's Needed?** + Bilingual fluency in English and Spanish. +… more
- ManpowerGroup (Alameda, CA)
- …on forecast deliverables. + Consolidates forecast for select US rebate accounts including Managed Care and works closely with market access account managers. + ... Coordination of Plan and LBE in financial planning processes including creation and distribution of templates, instructions, and guidelines to US Commercial business partners + Ensures completeness and accuracy of the financial submissions. + Involved in… more
- Sutter Health (San Francisco, CA)
- …referrals and/or authorizations accurately and consistently with minimal supervision. In Managed Care , processes authorization and referral requests for members ... in coordination with health plans and contracted providers. Provides support to the Case Management staff. Serves as a resource to providers regarding the authorization process. **Job Description** : **EDUCATION:** HS Diploma or GED **TYPICAL EXPERIENCE:** 2… more
- UCLA Health (Los Angeles, CA)
- …at least 1 year in collections investigation + Experience in commercial and managed care collections, highly desired + Ability to interpret payer contracts ... and process contractual adjustments + In-depth knowledge of UB04 requirements and medical billing processes + Strong analytical skills and proven proficiency in Excel and spreadsheets + Understanding of collection techniques and laws, including AB1455, the… more
- Centene Corporation (Sacramento, CA)
- …public relations, or communications experience preferred. Experience working in a managed care , insurance, or healthcare environment preferred. Public or ... media relations agency experience and experience with monitoring tools is a plus. Outstanding communications skills (oral, written, and presentation). Excellent organizational and planning skills; ability to work quickly under pressure, managing and… more