- Stanford Health Care (Palo Alto, CA)
- …as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, ... **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle… more
- University of Southern California (Los Angeles, CA)
- …with Medicare and Medicaid reimbursement guidelines including audits and appeals processes. + Req Strong analytical, organizational, and communication skills. + ... This Senior Analyst of Government Reimbursement at Keck Medicine of...tasks such as preparing and ensuring compliance with the Medicare Cost Report (MCR) and related Medicaid Cost Reports.… more
- Dignity Health (Bakersfield, CA)
- …knowledge of DHPR and CMS rules for Claim. Submission, Claim Payment, Eligibility, Appeals for Commercial, MediCare and MediCal lines of business. + Bachelor's ... **Job Summary and Responsibilities** The Provider Data Analyst is responsible for the maintenance of the...teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure… more
- City and County of San Francisco (San Francisco, CA)
- …interprets and implements billing rules, regulations and provider updates related to Medicare and Medi-Cal via review of released materials. Attends payer and vendor ... healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare , insurance, third party payors, and individual payors in...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …meet all of the following criteria: + Be eligible to participate in Medicare , Medicaid, and/or other federal healthcare programs + Possess a National Provider ... + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR have submitted a completed billable… more
- The County of Los Angeles (Los Angeles, CA)
- …quality assessment and assurance monitoring processes; and handle informal complainant appeals . Health Facilities Program Manager, Nursing positions are required to ... enforcement actions for the Division, including processing license revocations, Medicare and Medi-Cal de-certifications, and criminal complaints; and provides… more
- City and County of San Francisco (San Francisco, CA)
- …by using ICD-10-CM, ICD-10-PCS, and CPT as required by the Center for MediCare and MediCaid Services, American Medical Association, State of California, the Joint ... may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department...regarding this recruitment or application process, please contact the analyst , Hanz Pagao (she/her/hers) at ###@sfdph.org or ###. We… more