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Collector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose ...
Senior Coding Denials Management Specialist (HIM Inpatient) - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
In accordance with current federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related 'claims denials' and 'claims rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers—from Medicare, Medi-Cal, MAC, RAC, and commercial insurance companies —when there ...