- Elevance Health (Walnut Creek, CA)
- …improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Insight Global (Burbank, CA)
- …customer service representative for the Health Fund. The Senior Participant Service Specialist /Analyst will process health insurance claims and answers calls ... Knowledge of medical terminology - Ability to research and verify claims payment, benefits, and eligibility issues - Strong knowledge of benefits plans, policies… more
- Highmark Health (Sacramento, CA)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor… more
- Robert Half Accountemps (Brea, CA)
- Description We are looking for a detail-oriented Collections Specialist to join our client's team in Brea, California. The role requires a strong understanding of ... construction-related credit practices, legal tools such as lien and bond claims , and the ability to work effectively in a fast-paced, project-driven environment.… more
- Option Care Health (Santa Fe Springs, CA)
- …functions. **Travel Requirements** N/A **Preferred Qualification & Interests** Previous healthcare/ medical billing experience preferred. Due to state pay ... talent in healthcare. **Job Description Summary:** Sunday - Thursday The Specialist , Patient Registration is responsible for facilitating new patient's transition to… more