- J&J Family of Companies (Los Angeles, CA)
- …. Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. . ... to payer approval processes and business acumen. . Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- ABOUT US: Formerly Aurora Santa Rosa Hospital , SRBHH was opened in 2016 and is regarded as an integral part of the greater Santa Rosa and Northern California mental ... health system of care. Conveniently located in the North Bay, this hospital consists of 144 acute psychiatric inpatient beds. Santa Rosa Behavioral Healthcare … more
- Prime Healthcare (Ontario, CA)
- …preparing and completing entire Medicare and Medicaid cost reports for a multi-state hospital system and provide the support at audit + Knowledge of Medicare ... government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the complexity… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …understanding of hospital economics, primary/secondary insurance, governmental reimbursement , and payer/ provider economics + Strong negotiation skills ... of ASP, AMP, gross-to-net, contracting implications and operations, contracting strategy, Medicaid best price, and all related components, in partnership with… more
- Humana (Sacramento, CA)
- …first** The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
- Sharp HealthCare (San Diego, CA)
- …Association (AHIMA); HS Diploma or Equivalent; Certified Procedural Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC); Registered Health ... and APC's) as mandated. Uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, HCAL data financial and… more
- Cardinal Health (Sacramento, CA)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- Stanford Health Care (Palo Alto, CA)
- …planning, leadership, and operations support for Health Information Management, Hospital and Professional Coding Services, Charge Capture procedures, Revenue ... revenue capture and clinical documentation is effective in optimizing all Technical ( hospital ) and Professional revenue and quality measures outcomes. Acts a liaison… more
- LA Care Health Plan (Los Angeles, CA)
- …agreements, applicable laws & regulations, policies, and industry standards which provide medical, hospital , vision, dental, behavioral health, transportation ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- Sutter Health (Burlingame, CA)
- …of care, and observation status. + Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization ... **Position Overview:** The Physician Advisor (PA) is a key member of the hospital 's leadership team charged with meeting the organization's goals and objectives for… more
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