- Ryder System (Sacramento, CA)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow -up, timely resolution, and adherence to service… more
- Kelly Services (Los Angeles, CA)
- …life of the claim . l Sets reserves within authority limits for medical , indemnity and expenses and recommends reserve changes to Team Leader throughout the life ... return to work initiatives. l Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews. l Files… more
- Cedars-Sinai (Los Angeles, CA)
- …Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow -up activities, updating information ... responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and...Claim Edit WQs and PB Payer Rejection Insurance Follow -up WQs to ensure clean claim submissions… more
- Guidehouse (San Marcos, CA)
- …to perform all areas of initial billing, secondary billing, and payer audit follow -up for government and non-government claims . Must work with other departments ... electronic and hardcopy claims + Submits Adjusted claims + Provides Follow -up Billing + Prepares... at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim ,… more
- Elevance Health (Los Angeles, CA)
- **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering collaboration ... within a commutable distance from an office._ The **Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes strategies… more
- Guidehouse (San Marcos, CA)
- …before keying by identifying and circling invoices. Separate payments by groups. + Follow protocol for posting payments, denials, and adjustments to invoices in all ... days it should be given to the Supervisor for follow up. + Research payments posted to unapplied invoices...of related experience and general knowledge of payor-specific or medical specialty reimbursement. + Knowledge of CPT and ICD-9/10… more
- Ventura County (Ventura, CA)
- …health record (EHR) systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing Specialist IV ($ 27.86- $35.37 per hour) ... Medical Billing Specialist III/IV - Behavioral Health Print...health record (EHR) systems, such as Cerner, HURON, and/or Claim Source to follow up on accounts… more
- The County of Los Angeles (Los Angeles, CA)
- …and updating credentialing documentation for existing and the appointment of new medical providers. Incumbents follow policies and procedures, established by ... (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In… more
- University of Southern California (Alhambra, CA)
- … rejections and denials which might prevent or delay payment of a particular claim or group of claims . Prepares appeals and rebuttals letters/packages in ... responses to payer's reason for coding-related ' claims denials' and ' claims rejections'-including documentation and an argument and follow up with the PFS… more
- Cognizant (Sacramento, CA)
- …stakeholders and other teams. **In this role, you will:** . Perform comprehensive follow -up on hospital claims to resolve outstanding accounts receivable. . ... Time **About the role:** Asan AR Physician Hospital Billing Follow Up, you will be responsible for resolving aged...management using advanced Excel skills. . Recommend updates to claim edits and work queues to improve efficiency and… more