- Rady Children's Hospital San Diego (San Diego, CA)
- …that they support. Will monitor & report on work queue activity, encounter management , monitor electronic claims rejections & staff productivity reports. Compile ... & review monthly billing report packets for Director , Professional Billing. Analyze, track & trend any significant changes in prior months data providing root cause… more
- WTW (San Diego, CA)
- …clients of their claim related obligations under the policy and establish client-specific claims management procedures + Provide claims advocacy on behalf ... **Description** **The Role** This role provides value-added claims leadership and management service for the management liability lines of coverage, acts as… more
- Sharp HealthCare (San Diego, CA)
- …industry experts, etc. + Policy and Procedure maintenanceWorks in collaboration with the Director and Manager of Compliance and System Management (HIM, CDI, Case ... related field - required. In lieu of Bachelor's degree, Associate 's degree and a minimum of 5 years experience...or CCDS) is required within 1 year of hire.Department management is responsible for tracking and ensuring employee receive… more
- Providence (Irvine, CA)
- …compliance with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + ... Draft and review physician agreements, including medical director agreements, on-call agreements, and professional services agreements. + Prepare and review business… more
