Denials Manager - Anaheim, United States - Ahmc Healthcare Inc.

Denials Management Specialist Hybrid $2,000 Sign on

4 days ago

Job Description · Job DescriptionThe Denials Management Specialist is responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to management, and generating appeals for denied or underpaid claims.DUTIE ...

Utilization Management Denial Coordinator

9 hours ago

Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health. · In this key position, you will be the primary point of contact fo ...

utilization management denial review nurse

13 hours ago

General Information · Press space or enter keys to toggle section visibility · Work Location: Los Angeles, USA · Onsite or Remote · Flexible Hybrid · Work Schedule · Monday - Friday, 8:00am - 5:00pm PST · Posted Date · 03/26/2024 · Salary Range: $ Annually · Employment Type · 2 - ...

Payment Poster

3 days ago

**Who we are**: · We are a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're on a mission to change that. For patients that means exceptional support and better care. For providers it mean ...

Medical Billing and Denial Specialist

2 days ago

**Job Summary**: Titanium Healthcare is seeking a motivated Billing Specialist to join our growing and dynamic team. This individual will be responsible for the posting, evaluation and billing of claims and outstanding account receivable within the EHR (electronic health records) ...

Medical Biller/receptionist

3 days ago

Plastic surgery practice seeking a responsible, outgoing, and highly-motivated medical biller with receptionist duties. Coding experience preferred. Duties include providing excellent customer service to our patients, support to our physician, managers and employees, assisting in ...

Prior Authorization Specialist

1 day ago

The Prior Authorization Specialist is responsible for obtaining prior authorizations for all required procedures and maintaining accurate and timely record-keeping of all related documents and actions. · **ESSENTIAL FUNCTIONS**: To perform this job, an individual must perform eac ...

Process Improvement Coordinator, Hybrid, Nj

4 days ago

**Job Overview**: · The Revenue Cycle Process Improvement Coordinator I acts as an intermediary between the Operational and Clinical Departments (Hospital and Medical Group) and the Central Business Office (CBO) to identify, resolve and monitor issues as it relates to the perform ...

Patient Account Specialist I

1 day ago

**Hybrid $3,000 Sign-on Bonus** · Patient Account Specialist I (Hospital or Healthcare Exp Req) · Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO) ...

Lvn Utilization Review

1 day ago

**LVN Utilization Review** · - (MEM007924) · **Description** · **Title**:LVN Utilization Review · **Location**: Fountain Valley · **Department**: Outpatient Utilization Management · **Status**: Per-diem · **Shift**: Days · **Pay Range**:$34.79/hour - $50.42/hour · At MemorialCare ...

Pharmacy Intake Representative

18 hours ago

**About River's Edge Pharmacy**: · River's Edge Pharmacy has become a leader in infusion therapy services. Administered by specially trained infusion nurses, these services are provided at standalone locations, physicians' offices. Each location provides individualized care in a ...

Medical Collector/biller

3 days ago

**JOB TITLE**: Collections Clerk · **GENERAL SUMMARY OF DUTIES**: · The Collector is responsible for handling all parts of insurance claims and denials, as well as checking the status of claims. · **EDUCATION/EXPERIENCE**: · - High School Diploma or Equivalent · - 2 years of medi ...

Disclosure Specialist

2 days ago

Job Title: · Disclosure Specialist · **Location**: · CA - Irvine · What you'll do: · The Disclosure Specialist is responsible for preparing the Loan Estimate and sending out initial disclosures. · What we are looking for: · - Job Description · - Audit file for completeness and ac ...

Specialist, Appeals

3 days ago

Job Summary · Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid · KNOWL ...

Medical Collector

3 days ago

Overview: · We are seeking a detail-oriented and experienced Medical Collector to join our team. As a Medical Collector, you will be responsible for ensuring the timely and accurate collection of medical payments from patients and insurance companies. This is a vital role in our ...

Case Management Assistant

18 hours ago

Overview: · The Case Management Assistant is responsible for providing administrative and clerical support for the Case Management/Utilization Management team; with an emphasis on Case Management, Discharge Planning, Utilization Management, Resource Management and Social Services ...

Utilization Review

3 days ago

Job Title: Utilization Review Follow Up Specialist · Reports to: Utilization Review Follow-Up Supervisor · Employment Status: Full-Time · FLSA Status: Non-Exempt · - Job Summary:_ · - Duties/Responsibilities:_ · - Monitors and manages pending utilization review and prior authoriz ...

Medical Billing Operations Specialist

3 days ago

Job Title: Medical Billing Operations Specialist · Reports To: Operations Director · Employment Status: Full-Time · FLSA Status: Non-Exempt · - Job Summary:_ · - Duties/Responsibilities:_ · - Processes and submits insurance claims in a timely manner. · - Verifies insurance covera ...

Revenue Cycle and Billing Director for Healthcare

2 days ago

The Hire Mark is recruiting a Billing Manager for a Home Health Agency in Los Angeles. · This is a full time role with benefits. · **Position Summary**: · **Key Responsibilities**: · **Billing Operations**: · Supervise and lead a team of billing specialists responsible for proces ...

Pharmacy Technician/order Entry

3 days ago

**RESPONSIBILITES/ACCOUNTABILIES**: · **JOB TITLE**:Data Entry Technician · **JOB LOCATION**:Baldwin Park, CA · - Enter prescription orders into computer for filling new or refill orders using an imaged prescription. · - Enter data into computer system to fill prescriptions and t ...