- 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, 90017 ... that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for...(DHCS), Department of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), LACC - CalHers, and National… more
- Ventura County (Ventura, CA)
- …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... in professional medical billing, including billing in Medi-Cal, Commercial Insurance, Medicare and/or chemotherapy and using medical reimbursement programs.… 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
- The County of Los Angeles (Los Angeles, CA)
- …procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply MENTAL… more
- Bassett Healthcare (Cooperstown, NY)
- …the best quality of life possible. What you'll do The Ambulatory Office Assistant II serves as the first point of contact for patients within the Bassett Healthcare ... is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures… more
- CVS Health (Nashville, TN)
- …do it all with heart, each and every day. **Position Summary** As a Representative II Benefits Setup, you will be part of an extremely talented team within our Aetna ... and state programs that we participate in, such as Medicare Part D and Medicaid, but also the members...the members we provide service to. As a Representative II Benefits Setup, you will be meeting or exceeding… more
- Bassett Healthcare (Cooperstown, NY)
- …the best quality of life possible. What you'll do The Medical Office Assistant II serves as the first point of contact for patients within the Bassett Healthcare ... is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures… more
- Highmark Health (Harrisburg, PA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure… more
- The County of Los Angeles (Los Angeles, CA)
- …for permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, ... of program and financial reports. Essential Job Functions + Analyzes reimbursement requirements for Federal, State, and/or Special Programs to determine if… more
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- …Enter and correct information that has been rejected, when necessary. Ensure audit findings have been corrected and refiled. Use various computer applications to ... areas of regulations and policy, coding requirements, resident supervision, reimbursement , workload, accepted nomenclature, and proper sequencing. Ensure provider… more
- Community Health Systems (Birmingham, AL)
- …insurance reimbursement required + 0-1 years of experience with Medicare preferred **Knowledge, Skills and Abilities** + Advanced knowledge of medical billing ... robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement , tuition reimbursement , and student loan assistance for… more
- The County of Los Angeles (Los Angeles, CA)
- …patients and our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, ... production of program and financial reports. Essential Job Functions Analyzes reimbursement requirements for Federal, State, and/or Special Programs to determine if… more
- The County of Los Angeles (Los Angeles, CA)
- …and procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... review methods as necessary. + Oversees audits and the implementation of audit recommendations for programs managed. + Represents managed programs in meetings with… more
- The County of Los Angeles (Los Angeles, CA)
- …appointment to Health Care Financial Analyst. Essential Job Functions Analyzes reimbursement requirements for Federal, State, and/or Special Programs to determine if ... claims for reimbursement conform to applicable rules and regulations and result...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
- Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
- …records for compliance with The Joint Commission requirements, Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines. ... systems used to provide patient care to optimize VERA workload, third-party reimbursement , and to manage resources. Review compliance monitors with the Supervisor… more
- Dartmouth Health (Lebanon, NH)
- …are hired as a Registered Technician, Certified Technician I, Certified Technician II , or Certified Technician III depending on qualifications and experience and are ... 20% night, and 15% weekend shift differentials when applicable. Tuition Reimbursement :Up to $3,000 per year. Dental Vision \#CPT, #Pharmacy Technician,… more