- Elevance Health (Walnut Creek, CA)
- … chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing… more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts ... (Athenahealth, eCW, Tebra, etc) and QuickBooks, and a strong understanding of medical billing and payer systems is essential. Functional Responsibilities + Submit… more
- The County of Los Angeles (Los Angeles, CA)
- …choose among a variety of pre-tax and after-tax benefits that include Medical and Dental coverage, Group life insurance, Accidental Death and Dismemberment ... records, and other related areas, and prepares comprehensive reports on audit findings. CLASSIFICATION STANDARDS Positions allocable to this class are located… more
- Actalent (Irvine, CA)
- …team. This role is critical in ensuring the integrity and compliance of marketing claims associated with our medical devices. The ideal candidate will have ... strong experience in quality systems within the medical device industry and a proven ability to trace...device industry and a proven ability to trace marketing claims to supporting engineering analyses and documentation. This individual… more
- Sedgwick (West Hills, CA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230) Apply SENIOR NURSING ... INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Salary $122,010.72 - $182,634.24 Annually Location Los...the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. ... sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and appropriate corrective actions are implemented and… more
- The County of Los Angeles (Los Angeles, CA)
- …operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors. + ... Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance sheets,… more
- Sharp HealthCare (San Diego, CA)
- …investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or ... insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role. **Other Qualification Requirements** + Bachelor's degree in… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role. **Other Qualification Requirements** + Bachelor's degree in… more