- 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. The Provider ... diverse scope and complexity ranging from moderate to substantial. The Provider Contracting Executive communicates contract terms, payment structures, and … more
- J&J Family of Companies (San Bernardino, 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)
- …Demonstrate a working knowledge of Medical Necessity and regulatory standards (Medicare, Medicaid and Manage Care) + Training: Provide staff in-service training ... ABOUT US: Formerly Aurora Santa Rosa Hospital , SRBHH was opened in 2016 and is...both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers. The Utilization Review… 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
- Sharp HealthCare (San Diego, CA)
- …follow-up. + Working knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid , or other ... a key member of the transplant program and must provide up to date and accurate input on patient...or Equivalent + 5 Years Experience in medical billing ( hospital and/or professional), processing financial transactions and/or finance related… more
- CommonSpirit Health (Rancho Cordova, CA)
- …including an understanding of national standards for fee-for-service and value-based provider reimbursement methodologies. + Experience in contributing to ... between CommonSpirit Health providers and payers. Recommends strategies for maximizing reimbursement and market share. Develops new managed care products with… more
- Abbott (Livermore, CA)
- …management in one (or multiple) of the following fields: DME, IDTF, hospital administration, Medicare, Medicaid , commercial payors + Experience leading ... savings plan with high employer contribution . + Tuition reimbursement , the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program… more
- University of Southern California (Alhambra, CA)
- … billing, medical records, charge audit environment, CDM maintenance, Medicare/ Medicaid reimbursement , managed care contractual arrangements, and patient ... with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. + Req Knowledge of other government and third-party payer… more
Recent Searches
- Bond Specialty Insurance Underwriting (California)
- Senior IT Systems Engineer (California)
- Research Data Scientist II (United States)
- Retail Administrator Full Time (Colorado)
Recent Jobs
-
Deputy Program Manager - Water (Virginia)
- Burns & McDonnell (Arlington, VA)
-
Project Manager - Engineering
- Generac Power Systems (Waukesha, WI)