- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Accounting/Finance Department: CSC Appeals & Grievances ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II...of improvement to assist the department in increasing positive audit outcomes and improved Customer Service to LA Care's… 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
- 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
- Intermountain Health (Austin, TX)
- …consistent and compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation ... updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals , to facilitate corrective action planning for improved processes. 7.… more
- State of Colorado (Denver, CO)
- …interpersonal skills. Illustration of some key duties: + Review county reimbursement requests and supporting documentation and prepare reviewed requests for approval ... application. Class Code & Classification Description: H4R2XXPROGRAM ASSISTANT II (https://drive.google.com/file/d/0B4enHpLSVk4eTWxjeTRFZUdkaXc/view?usp=sharing&resourcekey=0-r4wY5\_QO7RB4jLunEk9ppw) MINIMUM QUALIFICATIONS: This position requires a… more
- Texas Health Resources (Arlington, TX)
- …Manager will have direct management responsibilities for related Coding and Reimbursement Department Billing Specialists, Coders and Denial Leads. The Manager will ... metrics. Establish process improvement as needed to achieve metrics Manage Internal audit functions: Ensure compliance with external agencies as related to coding… 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