Medical and Dental Billing Specialist Winters Healthcare Foundation IncMedical and Dental Billing SpecialistWinters, CA$25.50–$31.89 / weekQualified candidates will have a Medical Billing or Coding Certification, or have at least three years of medical and/or dental billing experience, including a strong understanding of insurance eligibility and regulations, including but not limited to Medi-Cal, Medicare, PPO insurance billing, claims management, SFS, and payment posting. Effective oral and written communication skills, fluency in Spanish is beneficial Critical Thinking: Strong critical thinking and emotional intelligence skills to ensure accurate billing information and enhance relationship-building with coworkers and patients.
Billing Specialist / Project Accountant Kleinfelder, Inc.Billing Specialist / Project AccountantRancho Cordova, CAFull timeFrom Accounting & Finance, Human Resources, Marketing & Communications, and Information Technology to Legal and Health & Safety, our corporate employees are part of the Kleinfelder ecosystem - supporting the projects that improve the communities we work and live in. In the event a recruiter or agency submits a resume or candidate without a previously signed agreement, Kleinfelder explicitly reserves the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency.
Billing Specialist - Remote - Nationwide CEP America LLCBilling Specialist - Remote - NationwideSacramento, CARemoteAs part of Billing Operations, you will be verifying insurance coverage of payers, identifying account classification, process billing exceptions, and more. Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
Medical Billing Supervisor Solano County CailforniaMedical Billing SupervisorFairfield, CA$83,155.86–$101,076.47 / yearThe Medical Billing Supervisor plans, organizes and supervises the medical insurance billing functions and accounting/clerical staff for the Department of Health and Social Services' Medical Billing Unit; assists in developing, implementing and maintaining the department-specific patient accounting and billing systems; serves as the electronic health record billing liaison between the County and the State; and resolves technical billing problems in coordination with the claim management system and clearing house provider. Possession of one (1) of a valid and current certification is required, such as a: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Documentation Expert-Outpatient (CDEO), Certified Professional Coder (CPC), or related certification from a recognized accredited college, university, or professional association (e.g., American Academy of Professional Coders (AAPC) or American Medical Billing Association (AMBA)).
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorSacramento, CA$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
BILLING & ACCOUNTS RECEIVABLE SPECIALIST Ledgent Finance & AccountingBILLING & ACCOUNTS RECEIVABLE SPECIALISTSacramento, California$27–$32 / hourThis role works closely with project managers, operations, and customers to support progress billing, lien compliance, collections, and customer account management in a fast‑paced construction environment. The Billing and Accounts Receivable Specialist is responsible for managing all aspects of construction billing, invoicing, and accounts receivable functions to ensure accurate, timely cash flow.
Billing/Payroll Specialist Spread Your Wings.Billing/Payroll SpecialistSacramento, CaliforniaUnder the guidance and supervision of the Accounting Manager, the Billing/Payroll Specialist (BPS) will perform work duties in an office setting, with the majority of the work hours being dedicated at the assigned/main office location and some hours being approved to work from a different office location, if needed, to optimize work efficiency. We are seeking a candidate with prior experience in medical billing and administrative tasks in a fast-paced work environment to help monitor and recoup medical payments for a small mental health practice office.
Utility Billing Services Representative Level I/II Sacramento County CouncilUtility Billing Services Representative Level I/IISacramento, CA$46,771.20–$64,498.32 / yearPersons claiming eligibility for disabled veterans preference must submit to the employment office, on or before the application deadline date, a certification from the United States Veterans Administration or a military service department, dated within 1 year, which certifies the present existence of a service related disability of 10% or more, or other acceptable proof of such disability as a result of his/her military service. Select the one box that best describes your full-time paid experience performing financial recordkeeping and customer relations activities (e.g., bookkeeping, billing, banking, accounts payable/ accounts receivable, accounting support, etc.).
Billing/Payroll Specialist Spread Your Wings, LLC.Billing/Payroll SpecialistSacramento, CAFull timeUnder the guidance and supervision of the Accounting Manager, the Billing/Payroll Specialist (BPS) will perform work duties in an office setting, with the majority of the work hours being dedicated at the assigned/main office location and some hours being approved to work from a different office location, if needed, to optimize work efficiency. We are seeking a candidate with prior experience in medical billing and administrative tasks in a fast-paced work environment to help monitor and recoup medical payments for a small mental health practice office.
Billing Medical Coder One Community HealthBilling Medical CoderSacramento, CAThe Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. Ensures that all diagnosis ICD10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement.
Lead Billing Associate Adventist Health SystemLead Billing AssociateRoseville, CAJob Requirements: Education and Work Experience: High School Education/GED or equivalent: Preferred Associates/Technical Degree or equivalent combination of education/related experience: Preferred Five years medical billing experience: Preferred. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living Gods love by inspiring health, wholeness and hope.
Bill Review Analyst I CorVel CorpBill Review Analyst IFolsom, CA$13.38–$23.42 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Bill Review Analyst I - Temp CorVel CorpBill Review Analyst I - TempFolsom, CARemote$16.90–$23.42 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Medical Billing and Insurance Coding Instructor (60641) International Education CorporationMedical Billing and Insurance Coding Instructor (60641)Sacramento, CATo Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. Were Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our campus.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerSacramento, CARemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewBilling Follow Up Associate Talented Medical SolutionsBilling Follow Up AssociateRoseville, CA$850–$875By providing frequent feedback and consistently measuring progress, we’ve discovered the recipe for success that’s delivered year over year growth since our first year of business. Monitor daily/weekly collections KPIs and report variances to supervisor.
Small Provider Billing Unit - West Sacramento, CA - Hybrid Gainwell Technologies LLCSmall Provider Billing Unit - West Sacramento, CA - HybridWest Sacramento, CA$31,200–$44,500 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. As a Small Provider Billing Unit role at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable.
Patient Account Representative III, Hospital Billing Unit (On-Site, Hybrid, Remote) NorthBay Medical CenterPatient Account Representative III, Hospital Billing Unit (On-Site, Hybrid, Remote)Fairfield, CARemoteWe are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. Due to state-specific employment requirements and workers' compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.
Billing Follow Up Associate Adventist Health SystemBilling Follow Up AssociateRoseville, CAOur compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.
Sr. Billing Follow Up Associate Adventist Health SystemSr. Billing Follow Up AssociateRoseville, CAOur compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.
Automotive Billing Clerk Wise Auto GroupAutomotive Billing ClerkVacaville, CAFull timeThis role is responsible for processing vehicle deals, ensuring accurate billing, and supporting the accounting department with timely and compliant documentation. The ideal candidate has experience in automotive dealership operations and thrives in a fast-paced environment.
Sacramento Billing Coordinator EMCOR Group IncSacramento Billing CoordinatorSacramento, CA$32–$36 / hourThis role will be positioned in our Sacramento Branch and works closely with Service Coordinators, Project Sales, Field Technicians, and Accounting to process invoices, reconcile accounts, and support a healthy financial cycle for our Service divisions. Air Systems is seeking a Service Billing & Accounts Receivable Specialist that is responsible for accurately billing service work, monitoring customer account balances, and ensuring timely payment collection.
Sacramento Billing Coordinator Air Systems, Inc.Sacramento Billing CoordinatorSacramento, California$36–$40 / hourThis role will be positioned in our Sacramento Branch and works closely with Service Coordinators, Project Sales, Field Technicians, and Accounting to process invoices, reconcile accounts, and support a healthy financial cycle for our Service divisions. Job Summary: Air Systems is seeking a Service Billing & Accounts Receivable Specialist that is responsible for accurately billing service work, monitoring customer account balances, and ensuring timely payment collection.
Bill Review Analyst I - Temp CorVel Healthcare CorporationBill Review Analyst I - TempFolsom, CARemote$16.90–$23.42 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Bill Review Analyst I CorVel Healthcare CorporationBill Review Analyst IFolsom, CARemote$16.90–$23.42 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Epic Certified Hospital Billing Claims Analyst 5944595 Accenture PlcEpic Certified Hospital Billing Claims Analyst 5944595Sacramento, CAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Hospital Billing (Charge Router) Senior Analyst 5944607 Accenture PlcEpic Certified Hospital Billing (Charge Router) Senior Analyst 5944607Sacramento, CAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing (Charge Router) Senior Analyst will bring experience managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
BMW Sacramento/MINI Due Bill Coordinator The Niello CoBMW Sacramento/MINI Due Bill CoordinatorSacramento, CA$20–$23 / hourBenefits: The Niello Company is proud to offer a competitive Benefits package, including Medical, Dental, & Vision plans, to all Full-time Team Members as well as Part-time Team Members who are deemed eligible based on a minimum hours requirement. We take pride in setting high expectations while valuing every team member, creating an outstanding experience for our customers and a workplace our employees are proud to call home.
Billing Coordinator - ARB Fairfield Primoris Services CorpBilling Coordinator - ARB FairfieldFairfield, CA$28–$33 / hourPrimoris Gas Operations, which consist of companies such as Q3 Contracting, ARB, Primoris Distribution Services, Snelson and Pipejacking Trenchless, has over 60 years of experience working in the natural gas distribution industry. Primoris nor its subsidiaries will be responsible for any fees from the use of any unsolicited resumes either through our ATS or via electronic mail systems from any agency representative or agency consultant unless your firm is an approved vendor partner with a current executed agreement.
Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystSacramento, CA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
SAP IS-U Billing & Rates Lead - Utilities Industry Accenture PlcSAP IS-U Billing & Rates Lead - Utilities IndustrySacramento, CAAs part of Accenture's Utilities SAP Practice, you'll be delivering major SAP solutions and Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting, Distributed Energy Resources (solar panels, batteries, electric vehicle chargers), and new Utility business models. Then join Accenture and build a rewarding career improving the way the world works and lives, as you help clients innovate with leading-edge SAP and Accenture Customer, Sales and Service solutions and technologies on some of the most innovative projects in the world.
NewBilling Follow Up Associate HiredFirstBilling Follow Up AssociateRoseville, CA$800–$900Portal knowledge, basic denial experience, professional claim experience desired as well as EPIC experience. Looking for candidates with Follow Up experience of 2 years or more with either Medicare or Managed Medicare experience.
Billing Clerk The Kenan Advantage Group IncBilling ClerkWest Sacramento, CAAll employees of the Company are expected to: Promote positive work habits including effective and timely communication, teamwork and respect for co-workers. Contribute to providing the highest quality of products and services to customers.
Epic Certified Professional Billing Claims Analyst 5944596 Accenture PlcEpic Certified Professional Billing Claims Analyst 5944596Sacramento, CAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Professional Billing Analyst 5944594 Accenture PlcEpic Certified Professional Billing Analyst 5944594Sacramento, CAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Professional Billing Analyst 6135586 Accenture PlcEpic Certified Professional Billing Analyst 6135586Sacramento, CAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Billing Analyst Stride, Inc.Billing AnalystSacramento, CaliforniaSummary: The Billing Analyst compiles, validates, and analyzes data in order to prepare accurate and timely customer invoices, schedules, reconciliations, and journal entries to ensure the company flow of cash and revenue. Apply core competencies in work including Effective Communication, Accountability, Prioritization, Ownership, Technical Acumen, Operational Excellence, and Proactiveness.
Dispatcher Billing Admin PartTime to FullTime Growth Path CbDispatcher Billing Admin PartTime to FullTime Growth PathRio Linda, CaliforniaThe ideal candidate has worked in a construction office, worn multiple hats, and understands the urgency of dispatching, billing, purchasing, and field coordination. We are a fast-paced mechanical contractor seeking a highly organized, detail-driven person to support invoicing, receivables, dispatch, purchasing, and office operations.
NewBilling Follow Up Associate IMCS Group IncBilling Follow Up AssociateRoseville, CACommunicates with patients, government agencies and third party payers to gather, process and record information to receive appropriate reimbursement. Completes billing and collection processes and prepares for distribution to appropriate sources.
Accenture Billing & Payments (ABPE) Sales Director - USA Accenture PlcAccenture Billing & Payments (ABPE) Sales Director - USASacramento, CACollaborate with Product Marketing, Lead Origination, Pre-Sales, Product Management, Professional Services, and Engineering teams to ensure client needs are met and sales origination and pursuits are successful and feedback loops are engaged/active - culture of continuous improvement on product value. Products and platforms have built-in value propositions for account teams looking to: • Originate to Win • Accelerate to Cloud • Improve Time-to-Value • Build in Profitability Uplift • Deliver Exponential ROI • Realize what New becomes Next • Let there be change.
Business Office Specialist Bristol Hospice, LLCBusiness Office SpecialistRoseville, CAOn an Average Day You Will: • Provide office functions including handling correspondence and word processing for hospice organization, managing incoming calls, filing clinical notes, maintaining administrative and clerical files; and ensuring postage is purchased and kept on hand • Assist BOM in maintaining minutes of meetings • Assist BOM in ensuring all Doctors order forms and related forms are completed and signed in compliance with Medicare and Medicaid regulations, place forms and applicable documents into patient files • Assist BOM in sending Doctors orders to Physicians when received from nurses for his/her signature; keep current log of what is sent to make sure it is returned with signature • Assist BOM in keeping all manuals up to date, as assigned • Assist BOM in closing out patients clinical record when discharged • Enter DARs and log/track their submission, if needed when online systems are down or emergency situations • Assist BOM in accurately entering patient billing data • Assist BOM in accurately processing and billing Medicare, Medicaid, private payer and patient claims in accordance with payor requirements and organization policy • Assist in the preparation of monthly billing and accounts receivable reports, alert appropriate management team members regarding late or missing documents for billing • Establish and maintain positive working relationships with patients, payers, and other customers • Maintain confidentiality of patient and organization information • Maintain adequate inventory of medical supplies/items needed to provide appropriate patient care; notify the supervisor when inventory needs to be restocked • Other duties as assigned. Knowledge and Skills needed to be successful in role: • Ability to type 50 words per minute • Proficient word processing skills • Excellent computer skills • Familiar with medical terminology.
Part Time Business Office Specialist Bristol Hospice, LLCPart Time Business Office SpecialistSacramento, CAProvide office functions including handling correspondence and word processing for hospice organization, managing incoming calls, filing clinical notes, maintaining administrative and clerical files; and ensuring postage is purchased and kept on hand. Assist BOM in ensuring all Doctors order forms and related forms are completed and signed in compliance with Medicare and Medicaid regulations, place forms and applicable documents into patient files.
Revenue Cycle Analyst IV Sutter HealthRevenue Cycle Analyst IVSacramento, CaliforniaSupports system's Revenue Cycle strategic objectives, providing long-term financial planning, operational performance analysis, financial feasibility studies, and special purpose reports for senior leadership. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs.
CalAim Financial Counselor Elica Health CentersCalAim Financial CounselorNorth Highlands, CA$25–$28 / hourIndependently Manages at least one ECM Referrals EPIC WorkQueues by actively monitoring referral statuses and processing new referrals; Tracks the status of authorization requests; Tracks and resubmits re-authorization requests as required by MCPs by coordinating with ECM Care Managers; Coordinates with the CalAIM Quality Assurance Specialist and CalAIM Reimbursement Specialist to track and update authorizations issued by MCPs; Checks eligibility of members in outreach and enrolled programs stage at the minimum of twice a month; If a patient switches MCPs and Elica is in contract with MCP for ECM, submits and tracks prior-authorization; If the patient loses coverage, is no longer enrolled into any MCPs or switches MCP to one not contracted for ECM services, notifies an appropriate ECM Care Manager or Community Health Worker to work with the patient on either regaining coverage or transferring to Health Plan for reassignment to a contracted provider; For patients internally referred to ECM, checks patients' eligibility for contracted ECM and CS services; Coordinates with the CalAIM Reimbursement Specialist and CalAIM Billing Specialist in regards to billing issues; Assists the CalAIM Manager in maintaining accurate program enrollment data and flagging program enrollment discrepancies; Provides accurate data entry of referral or authorization information into the electronic medical record. The CalAim Financial Counselor works with Elica patients and future patients referred by MHPs who may qualify for ECM services, understands precisely how to verify patient coverage so that Elica can bill properly for ECM services, and understands precisely how to verify patient authorization as well as to submit authorizations for the ECM services so that Elica can bill properly for ECM services.
Provider Enrollment Specialist (Temporary for 9-12 Months) - Remote - Nationwide CEP America LLCProvider Enrollment Specialist (Temporary for 9-12 Months) - Remote - NationwideSacramento, CARemote$22.90–$28.63 / hourPrepare, submit, and scan approximately 1,000 provider enrollment applications per year for Medicare, Medicaid, Blue Cross, Blue Shield, CAQH and other payer programs as needed and is responsible for all aspects of payer portal access for individual providers. Knowledge of Medicaid enrollment process (including revalidations, medical license expirations, deactivations, NPI taxonomy importance, how data flows to Medicaid managed cares, Medicaid billing manuals, state administrative codes, border state enrollment process, out of state enrollment process, etc.).
NewMedical Biller Tryfacta, IncMedical BillerRoseville, CATryfacta is a leading, nationally renowned Workforce Management Solution provider for private &public sector firms across the US. Tryfacta is certified by the Joint Commission for Healthcare Staffing Services & has numerous ISO Certifications that capture our commitment to continuous improvement.
PFS HB Specialist 3 University of CaliforniaPFS HB Specialist 3Sacramento, CA$28.90–$35.92 / hourMisconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. Patient Financial Services (PFS) manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments as well as internal operational and functional reporting and support related to hospital/facility billing.
NewCost Avoidance Specialist I Partnership HealthPlan of CaliforniaCost Avoidance Specialist IFairfield, California$80,140.53–$100,175.67 / yearResponsibilities: Assess, implement, and monitor activities related to recoveries and cost savings of medical claims with duties including but not limited to: Perform assessments and identify potential overpayments on claims related to all lines of business; Research and identify overpayments related to over utilization of procedures, billing procedures, potential fraudulent claims, duplicate payments, and overpayments due to lack of coordination of benefits with member's primary health care insurance policy such as a private health insurance, Medicare coverage, or an open case with CCS; Perform recovery activities associated with claim audit findings; Report dollar amounts identified for recovery, recovery amounts received, and reasons for overpayments; Responsible for identifying via reports, Medi-Cal overpayments due to retro-active Medicare or Third Party coverage and the recoupment of same. Researches and validates all provider refund checks received with duties including but not limited to: Identifies if refund check received is due to Partnership, reason for the refund; Identifies configuration or training issues related to the payment received; Recommends appropriate actions, statistical or regular adjustment, completes adjustments and reports outcome to Cost Avoidance Supervisor.
ACCOUNTANT I (SPECIALIST) State Of CaliforniaACCOUNTANT I (SPECIALIST)Sacramento, CA$3,934–$4,923The position also has ongoing telephone and written contact with attorneys and debtors who have questions about the invoice, are disputing invoice charges, or making payments; telephone or e-mail contact with Area office personnel requesting clarification of department policy regarding attorney and debtor questions, answering questions concerning the proper recording of information on the CHP 735, and computing the correct charges. Research deposits and payments from various vendors to the appropriate account in FI$Cal; prepares invoices upon receipt of billing information from field commands; determine proper coding for posting into FI$Cal, apply advance payments; and issue refunds when necessary.
Sr. Certified Coder, Cardiac/IVR Specialty Adventist Health SystemSr. Certified Coder, Cardiac/IVR SpecialtyRoseville, CAp>Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Required Two years experience if certified interventional radiology cardiovascular coder (CIRCC); otherwise, ten years experience: Required Experience in an acute care setting: Preferred Experience in cardiac and IVR coding: Required. Licenses/Certifications: Certified Coding Specialist (CCS): Required Certified Interventional Radiology Cardiovascular Coder (CIRCC) or earn certification within one year of hire: Required CIRCC-AAPC: Required.