- University of Southern California (Glendale, CA)
- …entering demographic information into computer system, providing medical records to physician / multidisciplinary team for review, verifying insurance and obtaining ... clinic appointments in a timely manner, and at the request of the physician , while accommodating patient's needs. This includes but not limited to: surgery… more
- Providence (Santa Rosa, CA)
- **Description** The Referral Coordinator prepares clinical data for physician /IPP/CBO approval and obtains authorizations; acts as liaison between patient, medical ... assistant, physician , IPP, CMS Department and Central Business Office. Providence...Qualifications:** + 1 year - Experience with medical terminology, coding and medical charting. **Preferred Qualifications:** + Medical Assistant… more
- Cognizant (Sacramento, CA)
- …the successful candidate performs advanced level work related to resolution of physician claim denials. This position will be responsible for root cause analysis ... physician payer denials, experience in identifying procedures impacted by...denials, experience in identifying procedures impacted by National Correct Coding Initiative Edits (NCCI), technical payer policies, appeal documentation… more
- Stanford Health Care (Palo Alto, CA)
- …Professional Billing to ensure timely billing, collection and cash posting of all physician charges from all payors. The Senior Manager assists the Director in ... detailed understanding of all systems including electronic health record, physician billing systems and other business systems including system functionality,… more
- Fresenius Medical Center (Costa Mesa, CA)
- …the Annual Standing Order Review and Internal Classification of Disease (ICD) coding . + Manages clinic financials including efficient utilization of supplies or ... scheduling and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.… more
- Sharp HealthCare (Santee, CA)
- …and effective manner. + Daily operationsMaintains department regulatory requirements.Verify physician order and utilizes RIS correctly to complete all paperwork. ... information (contrast, fluoroscopy, QC, resource, technical modifiers, billing modifiers, coding of exam, technologist/student/RN/Radiologist).Complete no show charge slips for… more
- Sharp HealthCare (Chula Vista, CA)
- …and all images are accounted for by the end of the shift.Verify physician 's written order and assures appropriate clinical indication of ordered exams.Begin exams in ... work completed in department matches billed exam. Provide correct coding of exams, billing modifiers, and supplies.Depart patient in IDX/RAD… more
- Humana (Sacramento, CA)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Elevance Health (Costa Mesa, CA)
- …outside of the client health plan network. * Notifies ordering physician or rendering service provider office of the preauthorization determination decision. ... Capabilities, and Experiences:** * Familiarity with Utilization Management Guidelines, ICD-10 and coding , and managed health care including HMO, PO and POS plans… more
- Cardinal Health (Sacramento, CA)
- …of a medical practice. This position is responsible for reviewing the physician 's daily schedule and obtaining verification of patients' insurance benefits for their ... interpreting EOBs + Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding . + Experience with GE Centricity preferred + Knowledge of computer/telephony… more