- 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
- Banner Health (CA)
- …data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic ... you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and… 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
- 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
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA)… more
- The County of Los Angeles (Los Angeles, CA)
- …support functions, Financial Control, Cataloging, Materials Management and Processing , which includes the supervision of professional and/or paraprofessional ... standards and local needs. Directs the operation of the Processing Section including adding item records to the database...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- CVS Health (Sacramento, CA)
- …analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. ... and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to… more
- The County of Los Angeles (Los Angeles, CA)
- …Assists in writing computer programs and provides documentation to streamline information processing and program data analysis. + Assists IT staff in the development ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be...may be required to submit documentation from a qualified medical provider or other qualified professional to support your… more
- Sharp HealthCare (San Diego, CA)
- …and group agreements; Operations Manual; benefit matrices; and other administrative and medical guidelines, policies, and procedures. Works closely with the Chief ... Medical Officer (CMO) who is responsible for all decisions...and grievances. **Required Qualifications** + 3 years' experience in claims , utilization review, appeals or member services in a… more
- Elevance Health (Costa Mesa, CA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more