Top Tech Jobs & Startup Jobs in Los Angeles, CA

The Denials Follow Up Rep evaluates and resolves clinical and technical denials in the Revenue Cycle, manages appeal processes, and keeps accurate records.

The Coding Edits & Denials Specialist resolves third-party insurance coding denials, optimizes reimbursements, and ensures compliance with coding guidelines.

Healthcare Auditors analyze hospital claim data for reimbursement issues, develop models for payment calculations, and improve internal processes based on audit findings.

The Associate Consultant manages client projects, conducts research on managed care contracts, analyzes data, and addresses client queries, ensuring project profitability and process improvements.

The Revenue Account Executive manages client projects, conducts analysis on hospital contracts, and oversees internal project needs. Responsibilities include client communication, research on reimbursement issues, and generating reports. Strong analytical and problem-solving skills are essential.

The Coordinator, P2P Appeals handles denied inpatient referrals, manages communication with payers, documents information, and supports various departmental functions while ensuring HIPAA compliance.

Manage the authorization process, maintain records in EMR, verify patient eligibility, track authorizations, and liaise between hospital staff and payers. Must adhere to HIPAA regulations.

The DRG Revenue Integrity Auditor performs audits on inpatient charts to ensure coding accuracy and compliance with clinical guidelines. Responsibilities include chart reviews, training new hires, and maintaining coding best practices while analyzing data for client reporting.

Supervise DRG coding audits, ensuring compliance with coding guidelines, provide training, conduct quality assurance, and generate reports for clients.

The Coordinator, Appeals Management resolves insurance appeals through research, compiling documents, and transcribing information while ensuring compliance and communication with clients and internal staff.