- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- Stanford Health Care (Palo Alto, CA)
- …assist in the design and implementation of workflow changes to reduce coding and billing errors. The SPC Coding Specialist II is distinguished from SPC Coding ... Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing clinical… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …the writing of scheduled medications (must obtain within 1 year of employment) Medicare Billing Number (NPI-National Provider Identifier) - (must obtain within 6 ... months of employment) Certification: Nurse Practitioner, National (must obtain within 1 year of employment) Successfully complete the credentialing process through Medical Staff Services Successfully complete the requirements of the delegations of Services for… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Insurance, they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billing Specialist III ( $ 25.10… more
- Scripps Health (San Diego, CA)
- …knowledge of healthcare EPIC software preferred. * Minimum two year experience billing Medicare , Medicaid, Blue Cross and Commercial insurance preferred, three ... one of the most respected healthcare organizations nationwide. As a Patient Account Specialist , you will be supporting the Billing Services department at our… more
- University of Southern California (Alhambra, CA)
- …, medical records, charge audit environment, CDM maintenance, Medicare /Medicaid reimbursement, managed care contractual arrangements, and patient accounting. ... center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow...+ Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement… more
- University of Southern California (Los Angeles, CA)
- The Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant ... services and Medicare cost report (MCR) requirements. This includes but not...synthesis of findings. + 6. Responsible for operationalizing inter-facility billing (eg kidney-paired donation) and be the intermediary for… more
- Providence (CA)
- …use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge ... **Description** **Charge Description Master Specialist \*Remote-Most states eligible As a member of...the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category Pharmaceutical ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
- Robert Half Accountemps (Manhattan Beach, CA)
- Description We are looking for a detail-oriented Medical Collector Credentialing Specialist to join our team in Manhattan Beach, California. The Medical Collector ... Credentialing Specialist will play a pivotal part in ensuring providers...pivotal part in ensuring providers are properly credentialed with Medicare and commercial insurance plans. The right person must… more
