- Ventura County (Ventura, CA)
- …for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal ... health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual...applications to meet business needs. It is to your advantage to apply as soon as possible. Examples Of… more
- TEKsystems (Chula Vista, CA)
- …A mission-driven, nonprofit healthcare organization serving Medicaid and Medicare populations is investing heavily in next‑generation artificial intelligence. ... healthcare interoperability standards. Healthcare IT Expertise + Understanding of Medicaid/ Medicare processes, provider workflows, claims, and authorizations. + Deep… more
- Sedgwick (West Hills, CA)
- …of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- TEKsystems (Los Angeles, CA)
- …experience in Utilization Management (UM) and a strong understanding of HMO/ Medicare claims processes. Key Responsibilities: + Audit denied provider and member ... experience in Utilization Management (UM) + Hands-on experience with HMO/ Medicare claims, audits, and denials + Familiarity with claims...We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are… more
- Sedgwick (West Hills, CA)
- …of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- TEKsystems (San Diego, CA)
- …Insurance Authorization, and Scheduling. + In-depth knowledge of Medicare /insurance reimbursement, regulations, service lines, and coordination standards. ... We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong,… more
- TEKsystems (Santa Barbara, CA)
- …the D-SNP program + Expertise in dual-eligible claims processing (Medi-Cal and Medicare D-SNP) + Prior experience in a high-volume production environment + Excellent ... We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong,… more
- Sedgwick (Sacramento, CA)
- …global company known for its excellence and customer service. + Take advantage of a variety of professional development opportunities that help you perform ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Technically skilled… more
- Deloitte (Los Angeles, CA)
- …& Risk offering enables clients to achieve profitable growth and competitive advantage by optimizing "heart of the business" operations. We leverage deep domain ... RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge and experience… more
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