![UCLA Health](https://media.trabajo.org/img/noimg.jpg)
Medicare Advantage Premium Billing Analyst
2 weeks ago
Responsibilities include:
- Understand and interpret State (CA DHS) and CMS files to ensure compliance with regulations
- Utilize knowledge of finance, accounting, bookkeeping, and medical billing procedures to perform tasks effectively
- Process payments and reconcile member accounts accurately and efficiently
- Investigate and resolve payment discrepancies promptly
- Understand and contribute to enrollment operations, Medicare membership enrollment, and reconciliation processes
Note: This posted position is 1 of 2 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions. Qualifications
We're seeking detail-oriented, self-directed professional with:
- High School Diploma or equivalent years of experience required
- Required minimum of three or more years of experience in a Medicare health plan or Managed Care – Enrollment, Disenrollment and Reconciliation
- Robust knowledge of Medicare and CMS enrollment and billing regulatory requirements
- In depth knowledge of Medicare Part D programs and CMS contracted vendors, such as RPC
- Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools
- Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines
- Strong knowledge of the health care model and other managed care MSO operations
- Strong critical thinking and the ability to apply knowledge at a broad level is essential
- Reliability and compliance with scheduling standards
-
Medicare Advantage Enrollment Representative
6 days ago
Los Angeles, California, United States UCLA Health Full timeAs a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment process by reviewing and submitting enrollment requests. This position requires meticulous attention to detail to ensure the accuracy and timeliness of acknowledgment notices sent to members. The ideal candidate will...
-
Medicare Advantage Enrollment Representative
3 weeks ago
Los Angeles, California, United States UCLA Health Full timeAs a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment process by reviewing and submitting enrollment requests. This position requires meticulous attention to detail to ensure the accuracy and timeliness of acknowledgment notices sent to members. The ideal candidate will...
-
Medicare Advantage Enrollment Representative
3 weeks ago
Los Angeles, California, United States UCLA Health Full timeGeneral InformationPress space or enter keys to toggle section visibilityWork Location: Los Angeles, USAOnsite or RemoteFlexible HybridWork ScheduleMonday - Friday, 8:00am - 5:00pm PSTPosted Date03/19/2024Salary Range: $ HourlyEmployment Type Staff: CareerDurationIndefiniteJob #14965Primary Duties and ResponsibilitiesPress space or enter keys to toggle...
-
Financial Analyst #PP
3 weeks ago
Los Angeles, California, United States Avispa Technology Full timeJob DescriptionJob DescriptionFinancial Analyst #PPOne of the most prestigious and well-known universities is seeking a Financial Analyst. The successful candidate will prepare, review and analyze financial and statistical information required for completion of the annual Medicare and Medi-Cal cost report. The ideal candidate has regulatory cost report...
-
Revenue Financial Analyst III
1 month ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $88, Min.) - $115, Mid.) - $142, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Director, National Account
3 weeks ago
Los Angeles, California, United States UroGen Pharma Full timeJob Summary This position will serve as the payer and channel access expert for Urogen products at the national, regional, and local level with government and commercial payers. The NAD will also serve as the content expert on all aspect of coverage, coding and reimbursement. This role will also be responsible for provider, trade, distribution, and GPO...
-
Los Angeles, California, United States UCLA Health Full timeProvide key leadership within a world-class health organization. Ensure the delivery of exceptional, compassionate and appropriate patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.The Billing Customer Service Representative will be responsible for:· Performing all required duties within the patient...
-
Business Data Analyst
3 weeks ago
Los Angeles, California, United States Providence Health & Service Full timeThe Data Analyst for Regulatory Compliance Reporting Analyst will compile and analyze reports for submission for the Health Plan Audits for their respective Product Lines (Commercial, Senior, and Medical) which impact 10 Health Plans. This position will support internal department reporting needs to fulfill business requirements. This role has strong...
-
Provider Dispute Resolution Analyst
3 weeks ago
Los Angeles, California, United States University of California Full timeTake on a key role within a world-class, award-winning health system. Elevate the operational effectiveness of an award-winning healthcare leader. Take your career in an exciting new direction. You can do all this and more at UCLA Health.You will be responsible for the accurate analysis and resolution of provider disputes. This will require extensive...
-
Senior Financial Analyst
3 weeks ago
Los Angeles, California, United States Ampcus Incorporated Full timeREMOTE DURATION:26 weeks with a possible extensionSHIFT:M-F 8-5REQUIRED EXP:The candidate must have a bachelor s degree and a background in healthcare accounting or healthcare finance AND hospital net revenue experience over a 7 year period The team consists of 4 Reimbursement Managers and 1 Director, everyone works remote so it will be important that the...
-
Provider Dispute Resolution Analyst
3 weeks ago
Los Angeles, California, United States UCLA Health Full timeGeneral 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 01/29/2024 Salary Range: $ Hourly Employment Type Staff: CareerDuration Indefinite Job # 10159 Primary Duties and Responsibilities Press space or enter keys...
-
Experienced Business Analyst
3 weeks ago
Los Angeles, California, United States Gainwell Technologies Full timeJob Title: Experienced Business Analyst - Medi-Cal at GainwellAnalyze, plan, design, and document training strategy to support the client's technological aspirations.Function effectively within Waterfall and Agile style change management projects.Act as a bridge between clients, project managers, technical personnel, and training personnel to define, track,...
-
Senior Financial Analyst
3 weeks ago
Los Angeles, California, United States Eastridge Workforce Solutions Full timeEastridge Workforce Solutions is partnering with a full-service, national law firm boasting a remarkable record of litigation, transactional and regulatory successes in the most consequential matters in its search for a Senior Financial Analyst. For immediate consideration, apply today. Position Overview:As a vital part of our Finance and Accounting team,...
-
Budgeting Analyst
3 weeks ago
Los Angeles, California, United States Jobot Full timeJob DescriptionBudget Analyst, Non-Profit, Contract to Hire, hybrid 1 day in a week, downtown LAA bit about us:We are a prominent Non-Profit Organization located in Downtown LA.Why consider joining us? Competitive Compensation Ample budget, ideal for individuals skilled in handling extensive data. Exceptional culture and team Comprehensive benefits...
-
Financial Analyst II
3 weeks ago
Los Angeles, California, United States Consultative Search Group Full timePricing Analyst II Role AvailableIf you are looking for Great Opportunity For Growth, Stability; and a Workforce full of Astute, Creative High-Achievers...Apply TODAYRemote with Flexibility(must be flexible to come to office every now and then & must live in a commutable range to one of the following cities)NYC, Wash DC, Houston, Dallas, Denver, LA, SF and...
-
Business Analyst
3 weeks ago
Los Angeles, California, United States ClifyX Full time10-15 years of experience as Business Analyst/Functional ConsultantShould have Strong Domain knowledge in Financial Services, with specific focus on Capital Market/Investment Banking areaStrong knowledge of complete Trade lifecycle of 2-3 asset classes (Equities, Derivatives (ETD/OTC), Fixed Income products etc)Has prior experience of working in processing,...
-
Business Analyst
3 weeks ago
Los Angeles, California, United States ClifyX Full time•10-15 years of experience as Business Analyst/Functional Consultant•Should have Strong Domain knowledge in Financial Services, with specific focus on Capital Market/Investment Banking area•Strong knowledge of complete Trade lifecycle of 2-3 asset classes (Equities, Derivatives (ETD/OTC), Fixed Income products etc)•Has prior experience of working in...
-
Healthcare Financial Analyst I
1 month ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $67, Min.) - $87, Mid.) - $107, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Research Data Analyst II
2 weeks ago
Los Angeles, California, United States UCLA Health Full timeJoin our dynamic team as a Research Data Analyst Assistant, where you'll play a crucial role in constructing and managing data for impactful projects. Dive into the world of statistical analysis while collaborating with esteemed staff and faculty. Your primary responsibilities will include: Ensuring data qualityDesigning study databasesWork alongside experts...
-
Research Analyst
3 weeks ago
Los Angeles, California, United States Next City Full timeJob Details Job Location Los Angeles Office - Los Angeles, CA Description Buchalter APC has an opening for a Research Analyst within our Research & Information Services Department. The Research Analyst conducts in-depth reference and research across various practice areas of law and business, and supports the Firm's business development efforts. The ideal...