- Robert Half Accountemps (Sacramento, CA)
- …entries against settlement reports to maintain accurate financial records. * Route payer correspondence to the appropriate team members for timely follow-up. * ... Utilize knowledge of contracts and policies to ensure proper application during payment posting. Requirements * Proven experience in medical billing, coding, and payment posting. * Strong understanding of medical collections and claims processes. * Ability to… more
- Ventura County (Ventura, CA)
- …ICD-10 CM/PCS and CPT coding guidelines, Federal and State regulations and Payer -specific guidelines as required; + Oversees the Discharged Not Final Coded (DFNC) ... and knowledgeable of the CDI program; + Administers all Office of Statewide Health Planning and Development (OSHPD) cases; + Provides education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for… more
- Baylor Scott & White Health (Sacramento, CA)
- …maintenance. * Prepares the 5-year financial operating forecast to include statistics, payer mix, payments capital, etc. * Prepares examination and presents and ... justifies findings, for any potential capital acquisitions, projects, new services, etc. * Provides ongoing budget vs. actual revenue and expense variance analysis. Reviews both standard and custom reports developed for the entity. * Prepares verbal or written… more
- Robert Half Accountemps (Lynwood, CA)
- …and discrepancies efficiently. + Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing. + Prepare and ... analyze aging reports to proactively monitor unpaid claims and optimize collections. + Work with internal teams to support clinical documentation and authorization workflows for DMH services where required. Requirements + Minimum of 3 years of experience in… more
- CVS Health (Sacramento, CA)
- …of ensuring coding is accurate and compliant with federal regulations, payer policies, and organizational guidelines. - Working experience with Microsoft Excel. ... - Strong attention to detail and ability to review and interpret data. **Preferred Qualifications** - 2 years or more previous experience with medical record review within a healthcare insurance company. - Prior special investigation unit experience. -… more
- Sevita (Chico, CA)
- …and occupancy percentages; respond to local requests for proposals to address payer needs; identify and participate in new start development initiatives, and ... identify potential acquisition partners. + Implement regional strategies to maintain and foster relations with individuals receiving services, families, and guardians; oversee implementation of individuals supported satisfaction surveys, and implement… more
- Maxim Healthcare (Modesto, CA)
- …information and records + Meets and maintains state, local, accrediting agency, payer and HIPAA regulations in regards to Protected Health Information and regulatory ... requirements + Greets and provides excellent customer service to all visitors, clients, and team members while demonstrating an approachable demeanor + Assists with various office administrative functions, including ordering office supplies, answering… more
- Elevance Health (Walnut Creek, CA)
- …medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working ... in person or virtually in the below location(s), the salary* range for this specific position is $81,852 to $155,088 Locations: California; Colorado; District of Columbia (Washington, DC), Illinois, New Jersey; Maryland, Minnesota, Nevada; New York; Washington… more
- J&J Family of Companies (Fresno, CA)
- …accountable to the institutional contract. + Develop and apply knowledge of payer access and affordability landscape in the territory regarding the company's ... products. + Devise and institute an integrated business plan that includes clear strategies and tactics to target key accounts utilizing all available resources, while aligning the plan with the district's, regions, and company's goals. + Analyze business… more
- Prime Healthcare (Ontario, CA)
- …review audits (RAC, MAC, CERT, ADR, Pre/Post Probes, QIO/Medicaid) and other payer audits as assigned. The Utilization review tech will further support the ... department needs for Release of Information through faxing and mailing, discharge coordination or other duties as assigned. Qualifications Required qualifications: 1. High School Diploma required2. Two years of relevant experience.3. Microsoft office… more