- Humana (Sacramento, CA)
- …team is seeking an Encounter Data Management Professional that has experience with business processing and data entry to join working remote anywhere in the US. As ... problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity… more
- Evolent (Sacramento, CA)
- …of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... to analyze source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create & maintain queries… more
- Mendocino County Sheriff's Office (Willits, CA)
- …departmental procedures. Duties may include resolving account discrepancies, processing financial transactions, preparing detailed financial reports, and answering ... orders. + Makes journal entries to support financial record-keeping. + Reviews claims and invoices for accuracy and compliance with County policies and identifies… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...and in place for proper infiltration of tissue during processing . Inspects and positions block with specimen for best… more
- LA Care Health Plan (Los Angeles, CA)
- …management referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, ... post admission to issue a determination based on clinical criteria for medical necessity. Assures timely, accurate determination and notification of admission and… more
- Veterans Affairs, Veterans Health Administration (Mcclellan, CA)
- …Chief of Compensation and Pension (C&P) Service is a member of the medical staff who practices under their approved clinical privileges. This position is aligned ... staff, management of professional staff matters, technical training of medical personnel, monitoring, maintenance, analysis and tracking of all pertinent… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …department, the Billing Representative is responsible for the full cycle of processing and maintenance of all third party and self-pay billing generated by ... performance in a variety of areas, including, but not limited to, and claims submission and adjudication and follow-up on outstanding receivables and denials. Using… more
- Cedars-Sinai (Los Angeles, CA)
- …may include preparing, indexing, and posting payments, performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, ... part of an organization that is committed to delivering the highest quality of medical care to our patients? Align yourself with an organization that has a… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Familiarity with the information (Insurance billing codes and coverage, claim adjudication, drug names, and medical terminology), equipment (Pharmacy ... proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not… more
- Ventura County (Ventura, CA)
- …a bi-weekly amount available to Regular employees for the purpose of purchasing medical , dental, and/or vision insurance from a group of authorized plans. Employees ... determines steps necessary for disposition; + Oversees the preparation of reimbursement claims from the state for costs incurred due to state-mandated programs that… more