- J&J Family of Companies (San Bernardino, CA)
- …and medical /buy & bill benefits (as applicable), coding, and billing . + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior ... support needs. + Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert… more
- Stanford Health Care (Palo Alto, CA)
- …procedure codes and modifiers, group Ambulatory Payment Classifications (APCs) for billing , and process National Correct Coding Initiative (NCCI) and payer specific ... all American Hospital Association (AHA) Coding Clinics for HCPCS and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a… more
- Stanford Health Care (Palo Alto, CA)
- …in inventory management, supply chain processing, including accounts payable, improve billing for specialty services, streamline the reporting cycle and month end ... actual revenue and contractual allowances for all payors including managed care, Medicare , Medi-Cal, commercial, and self pay payors. Oversee the regulatory filings… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers* Research, analyze… more
- Insight Global (Irwindale, CA)
- …a physical check). This practice works with all types of insurances: HMOs, PPOs, MediCare , MediCal , and Workers Comp. We're seeking a candidate with experience ... in professional billing and collections, including a solid understanding of explanation...The office houses approximately 80 staff members from various billing and collections teams, creating a collaborative and dynamic… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers + Research,… more
- Hospice Of San Joaquin (Stockton, CA)
- …will have broad autonomy to review any aspects of Hospice of San Joaquin's billing , charting, and other Agency areas as the DQC deems appropriate to determine the ... areas: patient care, safety, risk management, infection control, outcomes, HR, Volunteer, billing , and customer satisfaction. When a GAP is present develops a PIP.… more
- Cedars-Sinai (Beverly Hills, CA)
- …management as appropriate. + Responsible for invoicing sponsors, patient research billing , reimbursement to ancillary departments, and payment tracking. Issues and ... System. Reviews and finalizes clinical trials calendars to ensure agreement with Medicare coverage analysis and clinical trial budget. + Performs Medicare … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …the writing of scheduled medications - Must obtain within one year of employment Medicare Billing number (NPI- National Provider Identifier) - Must obtain within ... the writing of scheduled medications - Must obtain within one year of employment Medicare Billing number (NPI- National Provider Identifier) - Must obtain within… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT teams, and ... other related field required + Minimum of five years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required +… more