- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Sacramento, CA)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
- Scripps Health (San Diego, CA)
- …billing and reimbursement procedures and practices. * Working knowledge of hospital UB04, CPT-4, HCPCS, ICD-10 and Revenue codes. * Proficient in institutional ... the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …DRG/APC reimbursement table. Responsible for financially counseling patients at hospital bedside. Work closely with Case Management (UR) daily in regards to ... About Us Bakersfield Behavioral Healthcare Hospital , located in Bakersfield, California, is an acute...commercial, Managed care, government plans and State programs, ie Medi-Cal/ Medicaid and CCS. The Patient Account Rep is responsible… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Assistant General Counsel - Hospital Operations must be a transactional/regulatory attorney ... both the corporate and local levels across the health system. This attorney will provide daily counsel on a range of operational issues. This attorney will prepare a… more
- UCLA Health (Los Angeles, CA)
- …role at one of the nation's top academic health systems. As Director of Reimbursement , you'll play a pivotal role in maximizing reimbursement and ensuring ... Reagan UCLA Medical Center, UCLA Santa Monica Medical Center, UCLA Mattel Children's Hospital , and Resnick Neuropsychiatric Hospital -as well as a vast network of… more
- UCLA Health (Los Angeles, CA)
- …conversion factors. + In-depth knowledge of professional and hospital Medicaid , Medicare, and commercial managed care reimbursement structures. Leadership & ... assess the competitive healthcare landscape, payer/ provider dynamics, and evolving reimbursement methodologies. * Provide insights on emerging trends in… more
- LA Care Health Plan (Los Angeles, CA)
- …Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's ... the right place at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income… more
- Sharp HealthCare (San Diego, CA)
- …American Health Information Management Association (AHIMA); Certified Procedural Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC); HS ... and APC's) as mandated. Uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, HCAL data financial and… more
- Stanford Health Care (Palo Alto, CA)
- …planning, leadership, and operations support for Health Information Management, Hospital and Professional Coding Services, Charge Capture procedures, Revenue ... revenue capture and clinical documentation is effective in optimizing all Technical ( hospital ) and Professional revenue and quality measures outcomes. Acts a liaison… more