- Prime Healthcare (Ontario, CA)
- …various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the ... complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section of the report is linked to another and be… more
- Cardinal Health (Sacramento, CA)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
- Ventura County (Ventura, CA)
- …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... in professional medical billing, including billing in Medi-Cal, Commercial Insurance, Medicare and/or chemotherapy and using medical reimbursement programs.… more
- Cedars-Sinai (Marina Del Rey, CA)
- …workdays per week** , depending on departmental needs. The **Patient Safety Specialist ** is a clinical expert entrusted with the oversight and strategic management ... The role encompasses the meticulous oversight and continuous evaluation of Centers for Medicare & Medicaid Services (CMS) metrics, including but not limited to Core… more
- Sharp HealthCare (San Diego, CA)
- …Procedural Coding System (HCPCS) codes to assure appropriate assignment for outpatient Medicare reimbursement .Reviews and verifies charges to assure an accurate ... - The American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA);… more
- University of Southern California (Los Angeles, CA)
- …and negotiation of budgets for industry sponsored clinical trials. The budget specialist is responsible for reviewing the Medicare coverage analysis, protocol, ... Budgeting Specialist - Industry TrialsApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA Health-Sciences-Campus/Budgeting- Specialist … more
- Polaris Pharmacy Services of Minnesota, LLC (Livermore, CA)
- Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Northern CA - Livermore, CA Position Type Full Time Job Category Pharmaceutical ... Description THIRD PARTY ADJUDICATION CLAIMS SPECIALIST WHO WE ARE Polaris Pharmacy Services is an...portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to… more
- Polaris Pharmacy Services of Minnesota, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $21.00 - $22.00 Job Category Pharmaceutical ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
- Providence (CA)
- …and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10 coding ... **Description** **Providence is calling for Senior Charge Description Master Specialist open for our footprints in AK, CA, WA, OR, TX, NM or MT** As a member of the… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the… more