- UCLA Health (Los Angeles, CA)
- …understanding of UB04 requirements and advanced knowledge of medical billing processes, including familiarity with Medicare and Medicaid regulations + ... & Safety Codes, and other applicable statutes + Extensive familiarity with medical terminology, CPT and HCPCS codes, and healthcare networks including IPAs, HMOs,… more
- Fresenius Medical Center (Bellflower, CA)
- …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). + ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
- University of Southern California (Los Angeles, CA)
- …Bachelor's Degree In related field + Req 1 year Experience in healthcare billing , coding, reimbursement, transplant financials, medical auditing, HIM coding or ... related field/clinical application(s). + Pref 3 years Experience in healthcare billing , coding, reimbursement, transplant financials, medical auditing, HIM… more
- Sharp HealthCare (Chula Vista, CA)
- … Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans. Medicare patients - Medicare Secondary ... scan to correct form/identifier. **Knowledge, Skills, and Abilities** + Knowledge of Medical Terminology. + Knowledge of insurances, billing and collections… more
- Stanford Health Care (Palo Alto, CA)
- … + Working knowledge of commercial payer reimbursement models + Knowledge of Medicare billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses ... need to need to be removed from an account + Conducts audits for Medicare /Medicaid Cost Outlier accounts prior to billing , ensuring itemized bill is accurate.… more
- Humana (Sacramento, CA)
- …clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- University of Southern California (Alhambra, CA)
- …delivery (nursing or allied health), coding, provider billing , medical records, charge audit environment, CDM maintenance, Medicare /Medicaid reimbursement, ... CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of...patient accounting. + Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement… more
- Sharp HealthCare (Chula Vista, CA)
- …counselor or self pay repComplies with all rules and regulations governing Medicare and Medi-Cal billing .Any additional functions as described in Department ... billing functions as assigned.Obtain all necessary attachments required for billing (ie hard copy authorizations, medical records, 18-1, 50-1, etc.).Assures… more
- Dignity Health (Merced, CA)
- …and Responsibilities** The Patient Account Representative is responsible for performing the medical billing and collection functions for the Patient Financial ... The primary purpose of this position is to perform medical billing and collection functions for commercial,...commercial, managed care, self-pay, third party payer, and or Medicare for hospital, clinic accounts and other hospital related… more
- City and County of San Francisco (San Francisco, CA)
- …and implements billing rules, regulations and provider updates related to Medicare and Medi-Cal via review of released materials. Attends payer and vendor ... billing , claims processing, and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare , insurance, third party… more