- AdaptHealth LLC (Los Angeles, CA)
- …within the agency and community to accomplish care objectives. This position will provide education and care to the patient and communicate with team, physicians and ... a smooth transition to the home setting. * Performs in-services to hospital staff, referrals, other professionals regarding equipment & issues of clinical nature.… more
- 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
- Humana (Sacramento, CA)
- … Contracting Professional helps ensure network adequacy, competitive reimbursement structures, and compliance with regulatory requirements. Through effective ... part of our caring community and help us put health first** The Senior Provider Contracting Professional serves as a primary point of contact for Humana's … more
- University of Southern California (Los Angeles, CA)
- …issues to the Manager as needed. + Monitor and interpret CMS, Medicare, and Medicaid reimbursement , including proposed and final IPPS and OPPS rules, CMS ... Business, Accounting or related field. + Req 3 years hospital reimbursement , with a strong focus on...Medicaid . + Req Experience with CMS and state Medicaid hospital payment systems and cost reporting… 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
- 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
- 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
- Banner Health (CA)
- …as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues ... across all groups of patients and all types of provider specialties, as well as the full cycle of...billing is ideal and knowledge of Medicare, Medicare Advantage, Medicaid , and Commercial insurance is highly preferred. **Location** :… 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
- LA Care Health Plan (Los Angeles, CA)
- …agreements, applicable laws & regulations, policies, and industry standards which provide medical, hospital , vision, dental, behavioral health, transportation ... 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… more
- University of Southern California (Los Angeles, CA)
- …(ie heart, lung, liver, kidney, pancreas, etc.) for commercial, Medicare, hospital -based, provider -based inpatient and outpatient transplant accounts to support ... reports, presentations, summaries and being able to articulate and provide expert synthesis of findings. + 6. Responsible for...(eg kidney-paired donation) and be the intermediary for Keck hospital and USC care with outside recipient and donor… 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
- Sutter Health (Oakland, CA)
- …of care, and observation status. + Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization ... **Position Overview:** The Physician Advisor (PA) is a key member of the hospital 's leadership team charged with meeting the organization's goals and objectives for… more
- Dignity Health (Bakersfield, CA)
- …health; and ensuring efficient resource utilization, quality outcomes, and optimized reimbursement . The position requires the ability to understand and develop ... management, and/or social services. Must have a working knowledge of hospital and/or post-acute care operations, medical/nursing staff procedures, hospital … more
- Providence (CA)
- …throughout the organization including various cost based optimization strategies, and any reimbursement methodology related to Medicare and Medicaid that have ... position is responsible for operational implementation of various strategic reimbursement initiatives for the system to include evaluation, planning, coordination… more
- Sutter Health (San Francisco, CA)
- …+ Identify areas of improvement and communicate improvement strategies to hospital leadership. + Ability to provide leadership including innovation, ... potential impact on data quality for prospective payments, utilization, and reimbursement . Knowledge of ICD-10 desirable. + Strong Organization and Quantitative… more
- UCLA Health (Los Angeles, 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 ... will: + Perform all admission functions including in-house financial management + Provide leadership within his/her functional area + Verify accurate demographic and… more
