- UCLA Health (Los Angeles, CA)
- …medical billing experience in physicians' office or clinic with Medi-Cal, Medicare, Managed Care , and PPO insurances. Pathology billing experience highly ... preferred + Detailed knowledge of medical terminology and its applications + Skill in reading correspondence, charged documents, EOB's and all other insurance forms + Knowledge of on-line registration procedures including payor data and financial classes +… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …balances from all payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims. This position is responsible checking status ... of unpaid claims by telephone, websites and/or any other means available in an efficient and timely manner. BCII is expected to provide all necessary documentation required from payors to ensure accurate adjudication of claim for reimbursement. They will… more
- Molina Healthcare (Riverside, CA)
- …Degree or related experience **Required Experience** * 4-7 years Medicare, Medicaid, managed care or other health/insurance related sales experience. * ... Experienced in self-generating leads through local area marketing. * Current relationships with centers of influence for Molina products (Medicare/Marketplace/Medicaid) * Ability to be on the road 90-100% of the time in the local service area. * Maintain a… more
- Prime Healthcare (Ontario, CA)
- …those outside Corporate Finance, including hospital Controllers and CFOs, Legal, Managed Care , and Health Plan Operations. Qualifications EDUCATION, EXPERIENCE, ... TRAINING Required qualifications: 1. Bachelor's degree or 6 years of equivalent experience in Business Administration with emphasis on Accounting.2. Strong communication skills and an attitude to challenge the status quo.3. Strong analytical skills and ability… more
- Robert Half Accountemps (Palo Alto, CA)
- …or similar healthcare billing systems is a plus. + Familiarity with government, managed care , and commercial payer processes. + Strong organizational skills and ... attention to detail. + Ability to follow detailed instructions and handle routine tasks effectively. + Strong communication skills, both verbal and written. + Ability to work onsite in Palo Alto, CA. + Availability for early morning start time (between 6:30… more
- Amergis (Orange, CA)
- …be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral health clinical experience. ... Required Licensure / Certifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN. Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: +… more
- Prime Healthcare (Ontario, CA)
- …Specialist is also 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
- Grifols Shared Services North America, Inc (Modesto, CA)
- …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... medical schools. Acts as an "ambassador" representing Grifols' position and interests. + Participates and contributes in cross-functional teams (eg, sales, marketing, global medical affairs) regarding field-based activities, medical insights, competitor… more
- UCLA Health (Los Angeles, CA)
- …experience in billing and collections across payer types (government, commercial, managed care ) + Strong understanding of reimbursement regulations, payer ... contracts, medical terminology, and confidentiality compliance + Proven ability to resolve complex claims, process adjustments, and manage appeals effectively + Proficiency in Epic or similar billing systems, with strong skills in spreadsheets and account… more
- BeOne Medicines (San Mateo, CA)
- …+ 3+ years of experience in secondary payer analytics, and payer strategy, or managed care in the pharmaceutical or healthcare industry. + Expertise in market ... access dynamics and payer landscapes, including a deep understanding of payer segments (commercial health plans, PBMs, government payers, etc.) and reimbursement models. **Other Qualifications:** + Strong analytical capabilities with expertise in data analysis… more