- 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)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Guidehouse (El Segundo, CA)
- …None **What You Will Do** **:** The **Insurance Patient Account Representative** **( Hospital Claims)** is an extension of a client's business office staff. ... from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/ Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS… more
- J&J Family of Companies (Fresno, CA)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Guidehouse (San Marcos, CA)
- …None **What You Will Do** **:** The **Insurance Patient Account Representative - Hospital A/R Emphasis** is an extension of a client's business office staff. ... and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials...Claims + Account Review + Appeals & Denials + Medicare/ Medicaid + Insurance Follow-up + Customer Service + Billing… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- ABOUT US: Formerly Aurora Santa Rosa Hospital , SRBHH was opened in 2016 and is regarded as an integral part of the greater Santa Rosa and Northern California mental ... health system of care. Conveniently located in the North Bay, this hospital consists of 144 acute psychiatric inpatient beds. Santa Rosa Behavioral Healthcare … more
- UCLA Health (Los Angeles, CA)
- …thorough and strategic account reviews, lead efforts to resolve reimbursement discrepancies with third-party payers, and implement proactive follow-up strategies ... knowledge of medical billing processes, including familiarity with Medicare and Medicaid regulations + Advanced proficiency in analytical tools and software, with… more
- Stanford Health Care (Palo Alto, CA)
- …must possess the creativity motivation to drive change, realizing maximized reimbursement and minimized financial risk to Stanford Health Care. Successful oversight ... related issues. **Locations** Stanford Health Care **What you will do** + Provide leadership, direction and guidance; Set departmental goals and priorities and… more
- Option Care Health (Los Angeles, CA)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- CenterWell (Sacramento, CA)
- …experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + ... degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or... Experience a plus + Current nursing experience in Hospital , SNF, LTAC, DME or Home Health. + Bilingual… more