- Insight Global (Pleasanton, CA)
- Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is ... needed. * Track denial trends and recommend process improvements. * Provide monthly Medicare billing and collection reports to management. * Coordinate with… 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
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical ... Billing Specialist II - Patient Financial Services...and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general… more
- Robert Half Accountemps (Duarte, CA)
- …Healthcare organization in the city of Duarte is looking for a skilled Medical Billing Collections Specialist . The Medical Billing Collections Specialist ... have experience in skilled nursing or related fields. Key Responsibilities: + Billing and Claims Management: Prepare, submit, and track medical claims for services… more
- Robert Half Accountemps (Duarte, CA)
- …to secure appropriate reimbursements. * Maintain comprehensive and accurate patient billing records in compliance with Medicare , Medi-Cal, and payer-specific ... Description We are looking for an experienced Medical Biller/Collections Specialist to join our team in Duarte, California. The Medical Biller/Collections … more
- Alameda Health System (Alameda, CA)
- …necessarily performed by each individual in the classification. 1. Responsible for Census tracking, Medicare A and B billing and Medi-Cal billing . Starts and ... AHD Business Office/Accounting Specialist + Alameda, CA + Park Bridge +...in a business office and/or accounting capacity. Minimum Experience:Recent Medicare and Medical insurance billing . Alameda Health… more
- 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
- Cognizant (Sacramento, CA)
- **Provider Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** We are ... seeking a dedicated Provider Appeals & Grievance Specialist with 1 to 2 years of experience to...will involve research of member benefits, eligibility, provider contracts, billing and coding, Utilization Management and state Medicaid policies.… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Benefits Verification Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $21.00 Hourly Job Category Pharmaceutical ... Description JOB SUMMARY: Polaris Specialty Pharmacy is seeking a Benefits Verification specialist to support patient access to specialty medications. This role is… more
- Aveanna Healthcare (Seal Beach, CA)
- Authorization Specialist ApplyRefer a FriendBack Job Details Requisition #: 207969 Location: Seal Beach, CA 90740 Category: Medical Billing /Collections Salary: ... communities we serve. Requirements *Remote Position* Position Overview The Authorization Specialist works in collaboration with the Aveanna Healthcare clinical and… more
- Cognizant (Sacramento, CA)
- …to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment. . ... based on the review of clinical documentation in accordance with Medicare , Medicaid, and third-party guidelines. . Effectively document and log claims/appeals… more
- Cardinal Health (Sacramento, CA)
- …Accounts Receivable Specialist is responsible for processing insurance claims and billing . They will work within the scope of responsibilities as dictated below ... EST (or based on business need) **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing...party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required.… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy ... claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their...to Polaris and their customers. The Lead Prior Authorization Specialist must be responsive and courteous when addressing our… more
- Highmark Health (Sacramento, CA)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- Dignity Health (Merced, CA)
- …patient financial liability e) Referring patients to the Patient Registration Specialist as needed for assistance with financial counseling and/or clearance The ... required documentation is obtained and complete. + Meet CMS billing requirements for the completion of the MSP, issuance...of the MSP, issuance of the Important Message from Medicare , issuance of the Observation Notice, and other requirements,… more
- Emanate Health (Covina, CA)
- …Collaborates with Emanate Health's Compliance team and with all third party billing and reimbursement requirements including, but not limited to, the requirements of ... Medicare and Medicaid programs. Serves as the coding subject...License Requirement :** Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) license required.… more