- Stanford Health Care (Palo Alto, CA)
- …of all legitimate reimbursement opportunities. + Oversee Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals or litigation when ... is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for… more
- Elevance Health (Charleston, WV)
- ** Audit & Reimbursement II - Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II ** will...report reopenings. + Under guided supervision, participate in completing appeals related work: + Position papers + Jurisdictional Reviews… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and… 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 Salary $49,302.23 - $62,546.54...for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general… more
- State of Colorado (Adams County, CO)
- Grounds & Nursery II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5121067) Apply Grounds & Nursery II Salary $3,844.00 Monthly Location ... benefits ,Colorado PERA (https://www.copera.org/) . + Access to a tuition reimbursement program for eligible employees, their eligible dependents and domestic… more
- LA Care Health Plan (Los Angeles, CA)
- Authorization Technician II (12 Month Assignment) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Training Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los ... that purpose. Job Summary The Customer Solution Center Training Specialist II is responsible for conducting functional training Customer Solution Center (CSC)… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position Type: Full ... Job Summary The Customer Solution Center Quality Auditor (QA) II is responsible for monitoring and actively influencing the...in the development of tools and procedures established to audit each vertical under the Customer Solution Center. In… more
- Guthrie (Towanda, PA)
- …necessary action to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to identify potential ... Demonstrates skills and proficiency in analyzing complex billing problems, prepares appeals , challenges payer policies and pursues appeal turnover when necessary. 4.… more
- Valvoline (Cleveland, OH)
- …professionals in a role with high visibility to executive management and the audit committee of the Board of Directors. This position will proactively collaborate ... i. Set vision and tone for the tax organization. ii . Collaborate with key leadership on strategy to optimize...structure. iii. Communicate effectively with senior management and the Audit Committee of the Board of Directors on tax… more
- Highmark Health (Monroeville, PA)
- …contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/ appeals and retrospective payer audit denials. Collaboratively ... and educational opportunities to employees. Forbes Hospital is a 315 bed, Level II trauma hospital located in the community of Monroeville. Our hospital offers the… more
