- Robert Half Accountemps (Sacramento, CA)
- Description We are looking for a detail-oriented Medical Payment Poster Specialist to join our team in Sacramento, California. This contract-to-permanent ... position offers an excellent opportunity for individuals skilled in medical billing, coding, and payment posting. The...individuals skilled in medical billing, coding, and payment posting. The role requires working on-site during the… more
- Robert Half Accountemps (Sacramento, CA)
- Description We are looking for a detail-oriented Medical Payment Poster Specialist to join our team on a Contract to permanent basis in Sacramento, California. ... with healthcare billing procedures. Ideal candidates will bring prior experience in medical payment posting or medical billing, along with the ability to… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Elevance Health (Costa Mesa, CA)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Centene Corporation (Sacramento, CA)
- …involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment . + Develops alliances with the ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Centene Corporation (Sacramento, CA)
- …involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment . + Develops alliances with the ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Humana (Sacramento, CA)
- …to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing ... and researching medical claims + Proficient in Microsoft Office (Word, Excel,...home in the state of California will be provided payment for their internet expense. + A minimum standard… more
- UCLA Health (Los Angeles, CA)
- …with: + High school diploma, GED or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience with CPT-4, ICD-9CM, ... with policies and procedures. You will: + Research over and under- payment inquiries/appeals + Compile and maintain statistical data consistent + Maintain… more
- Sutter Health (Oakland, CA)
- …such as mediset system and/or electronic health record a plus. + Experience with medical payment and reimbursement programs or willingness to learn is a plus. ... using the electronic health records * Technicians receive training in the electronic medical records as required to perform their daily workflow. Refills are checked… more
- ICW Group (Sacramento, CA)
- …be here! **PURPOSE OF THE JOB** The purpose of this job is to oversee payment recovery efforts arising out of claims payments made on ICW Group claims. This position ... **ESSENTIAL DUTIES AND RESPONSIBILITIES** Oversees activities within the Claims Payment Recovery team. + Works to improve the quality...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more