- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... related field required + Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum… more
- The County of Los Angeles (Los Angeles, CA)
- …for health and/or mental health care provided under Federal, State and Special medical aid programs or prepares yearly budget requests, annual financial plans and ... rules and regulations and result in maximum revenue collection. + Prepares Medicare and Medi-Cal cost reports and State mandated disclosure reports. + Analyzes… more
- Medtronic (CA)
- …approved Medtronic tools to deliver relevant training and education on coding, billing , and reimbursement. + Develop a monthly report of provider activities, ... primary field-based expert for reimbursement, coding, and coverage. + Educate administrators, billing managers, and healthcare providers on the correct use of HCPCS,… more
- University of Southern California (Alhambra, CA)
- …specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare , Medi-Cal, MAC, RAC, and commercial insurance companies -when there ... denials' and 'claims rejections' on patient accounts in both the Coding & Billing systems. Responsible for reviewing reports/work queues to identify and to correct… more
- Dignity Health (Sacramento, CA)
- …diversities of clients. Ethical and legal issues. Community resources. Billing and documentation requirements. Effective verbal and written communication skills. ... and standards. Manage significant electronic documentation functions necessary to support insurance billing . Ability to manage the case load and maintain schedule to… more
- Molina Healthcare (CA)
- …* Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical ... of a health care related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current Molina employees: If you are… more
- Option Care Health (Riverside, CA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... a Home Health Agency. + Knowledgeable of documentation and billing requirements for home health/ infusion care goods and...Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …information to respond to inquiries pertaining to admissions and billing questions. KEY RESPONSIBILITIES: + Patient Admissions: Arranges patient admission ... in resolution of routine admitting inquiries. May also interface with medical staff for information required for patient admissions. Provides Financial options… more
- Sharp HealthCare (Chula Vista, CA)
- **Facility:** Chula Vista Medical Center **City** Chula Vista **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** ... notification processes. Supports initiatives of clinical documentation improvement and medical necessity status determination and alignment between physician order/accommodation… more
- Providence (CA)
- …use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge ... ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist acts as… more