- 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
- 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 ... Reviews bulletins to identify new programs that may affect reimbursement for Medi-Cal and/or Medicare and prepares...Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related… more
- Highmark Health (Sacramento, CA)
- …teams that engage providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different ... of workflows resulting in outstanding performance in the Organization's value-based reimbursement programs ensuring that ROI targets as set by the Organization… 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
- Polaris Pharmacy Services, LLC (Covina, CA)
- Lead Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… 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
- LA Care Health Plan (Los Angeles, CA)
- Translation Services Specialist III Job Category: Clinical Department: Cultural & Linguistic Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Translation Services Specialist III works closely and collaboratively with Cultural and Linguistic (C&L)… more
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