- Pomona Valley Hospital Medical Center (Pomona, CA)
- …ensuring that both facility and professional bill forms have been submitted. Follow -up: Responsible for ensuring accounts have been adjusted per the terms of ... for ensuring the payer is in receipt of our claims and the collection of the outstanding balance due...months' billing experience or recent billing course. Familiar with medical terminology. Strong PC skills (Microsoft applications). Basic office… more
- Datavant (Sacramento, CA)
- …Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes ... Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes… more
- Sharp HealthCare (Chula Vista, CA)
- **Facility:** Chula Vista Medical Center **City** Chula Vista **Department** **Job Status** Per Diem **Shift** Evening **FTE** 0 **Shift Start Time** **Shift End ... functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing...role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs… more
- CenterWell (Sacramento, CA)
- …+ Know and continually review medication brand and generic names, medical terminology, and pharmaceutical calculations. + Medication adherence outreach, auditing, ... + Assist clinical pharmacists in troubleshooting prescription third party claim rejections by accessing and understanding formulary restrictions, plan limitations,… more
- Sumitomo Pharma (Sacramento, CA)
- …(https://c212.net/c/link/?t=0&l=en&o=4190475-1&h=3440496098&u=https%3A%2F%2Fwww.us.sumitomo-pharma.com%2F&a=https%3A%2F%2Fwww.us.sumitomo-pharma.com+) or follow us ... company's new and established programs. This position reports to the Chief Medical Officer. **Job Duties and Responsibilities** + Strategic thought partner including… more
- Elevance Health (Los Angeles, CA)
- …as single point of service support (eg, phone and e-mail inquiries, claims , enrollment, billing) to Elite Broker contacts (Brokers, General Agents, Agencies, etc.) ... plan offerings, have issues that are impacting multiple service areas such as claims , eligibility, etc. and provide onsite support as needed) with timely and… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...for processing + Perform other tasks as assigned. + Follow all applicable government regulations, including HIPAA + Comply… more
- Horizon Services, Inc. (Hayward, CA)
- …dental, life and other related benefit claims . + Coordinate workers' compensation claims with third-party administrator. Follow up on claims . Compliance ... working in a diverse environment. + Outstanding ability to follow -through with tasks. + Highly organized with excellent time...employees over 20 hours per week. + + 100% Medical and dental, Life and LTD for the employee… more
- Hilton (Los Angeles, CA)
- …background preferred\. The ideal candidate must possess ability to understand and follow written and or verbal instructions\. Ability to effectively deal with ... language sufficient to ascertain information from luggage tags and claim checks to write numbers and names on ...your pay when you need it through DailyPay + Medical Insurance Coverage - _for you and your family_… more
- Otsuka America Pharmaceutical Inc. (Irvine, CA)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... the respective Area Business Lead, coordinating with cross-functional colleagues in Medical (MSLs), Market Access (HSAMs), and Patient Support (PELs) under… more