- Cognizant (Sacramento, CA)
- …the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
- Scripps Health (San Diego, CA)
- …and Thoracic Surgery Center (SCTSC) * SHPS also adjudicates some institutional claims for Mercy Physicians Medical Group (MPMG), Primary Care Associates ... providers). SHPS provides managed care services to the following medical groups * Scripps Clinic Medical Group...(SPMG) The following are our responsibilities: * Auditing * Claims Payment * Complex Care Management * Contracting *… more
- LA Care Health Plan (Los Angeles, CA)
- …of the authorization process including intake, logging, tracking and status follow -up. The Authorization Technician II collects information required by clinical ... within 2 hours of receipt; identify duplicate requests using the claims and verify existing authorization. Independently identifying and appropriately returning to… more
- Guidehouse (San Marcos, CA)
- …& Credit Balance** will also oversee credit balance workloads and respond and follow -up on external and internal inquires in a timely manner. The individual is ... approaches to our clients' business processes. This position will follow and ensure that client and company policies and...office and three days from home._** + **Strong Hospital Claims A/R, Cash Posting & Credit Balance skills** +… more
- UIC Government Services and the Bowhead Family of Companies (Travis AFB, CA)
- …escalating unresolved issues to senior staff. + **Safety & Compliance** - Follow OSHA, NEC, and TIA/EIA standards in all work activities, including confined ... & alcohol screening and/or random drug screen, and must follow UIC's Non-DOT Drug & Alcohol Testing Program requirements....characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Robert Half Office Team (Modesto, CA)
- …notices to appropriate parties. * Send letters of representation to insurance companies and follow up as required. * Collect medical records, bills, and wage ... * Gather detailed information from involved parties and open claims when needed. * Request accident reports, incident photos,...loss information to support case preparation. * Verify medical billing balances and obtain final lien amounts from… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …admission. Assists in resolution of routine admitting inquiries. May also interface with medical staff for information required for patient admissions. + Set up and ... Knowledge of CPT/ICD-10 coding helpful. + Thorough knowledge of medical terminology. + Knows what a copay, coinsurance, deductible...an out-of-pocket maximum are + Knows how these affect claim adjudication and patient responsibility + Knows how to… more
- Robert Half Legal (San Francisco, CA)
- …Help with voir dire, jury selection and witness preparation Subpoena medical , billing, and radiology records, employment records, workers compensation records, and ... other entities Prepare comprehensive medical chronologies and Howell analysis Summarize written discovery and...listen to what you are being told and ask follow -up questions is very important Able to talk to… more
- Ventura County (Ventura, CA)
- …hospitalizations or alternative care options when necessary, and coordinating follow -up services to support clients' recovery. These roles demand adaptability, ... regarding the 6 year rule: California Associates may only claim hours earned within six (6) years of the...and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information,… more
- Caris Life Sciences (Sacramento, CA)
- …protected health information (PHI). + Engages with on-site hospital billing department to follow -up on specific claim details to support proper hospital payment, ... Precision Medicine Initiatives will be expected to interact with Laboratory Medical Directors, Pathologists, and Laboratory Professionals as necessary, and this… more