Top 117 Cycle specialist Jobs in Roseville Ca

Sr. Denial Specialist (Remote)
Stanford Health Care —Sacramento, CA
- $38.91 - $43.82 an hour
- Full-time
- Remote
- 3 years
- High school diploma or GED
- Mentoring
14d
Sr. Clinical Denials Appeal Specialist (Remote)
Stanford Health Care —Sacramento, CA
- $66.52 - $88.14 an hour
- Full-time
- Remote
- Nursing
- RN License
- Analysis skills
INFORMATION TECHNOLOGY SPECIALIST I
Department of Public Health —Sacramento County, CA
- $6,513 - $10,537 a month
- Online Application
- Hybrid work
- Mid-level
- Office
- Travel
INFORMATION TECHNOLOGY SPECIALIST I
State Controller's Office —Sacramento County, CA
- $6,513 - $10,537 a month
- Full-time
- Hybrid work
- Office
- Continuous improvement
- Training & development
6d
Leave Specialist - REMOTE
Ryder System —Sacramento, CA
- $55,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Disability insurance
- Health insurance
12d
Family Support Specialist
SAINT JOHNS PROGRAM FOR REAL CHANGE —Sacramento, CA
- $60,000 - $72,000 a year
- Weekends as needed
- Mid-level
- Math
- Experience working with children
- 403(b) matching
- Paid holidays
Quick Apply
Curriculum Specialist (K-12 Generalist) - Part-time (California)
Savvas Learning Company —Sacramento, CA
- $20 - $45 an hour
- Part-time
- School experience
- Spanish
- Public speaking
- Commuter assistance
- Health savings account
Quick Apply
Senior Bilingual Collections Specialist (English/Spanish)
Elite Acceptance Corp. —Sacramento, CA
- $50,000 - $75,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Paid training
- Health savings account
Quick Apply
Payroll & Benefits Specialist
Chapa-De —Auburn, CA
- $30.00 - $35.55 an hour
- Full-time
- Hybrid work
- Mid-level
- Finance
- Organizational skills
- Paid holidays
- Health insurance
Quick Apply
Healthcare AR/ Collections Specialist - Bilingual Spanish
MedRevenu Inc. —California
- $20 - $25 an hour
- Urgently hiring
- Spanish
- Mid-level
- Conflict management
- Health insurance
- Dental insurance
Quick Apply
10d
Human Resources Generalist
El Hogar Community Services —Sacramento, CA
- $32 - $33 an hour
- Full-time
- Google Workspace
- Computer literacy
- Basic math
- Paid jury duty
- Health insurance
Quick Apply
12d
Field Sales MSC Sacramento
Master Seal Craft —Sacramento, CA
- $36,000 - $150,000 a year
- Full-time
- Hybrid work
- CRM software
- Google Workspace
- Clean driving record
- Travel reimbursement
- Mileage reimbursement
Sales Specialist - California (Senior Living)
Integral Senior Living —Sacramento, CA
- $100,000 - $110,000 a year
- Remote
- Management
- Marketing
- Hospital
- Paid holidays
- Health insurance
Quick Apply
Talent Acquisition Specialist
Pacific West Site Services, Inc. —Sacramento, CA
- $70,000 - $85,000 a year
- Part-time
- Ability to walk for extended periods
- Mid-level
- Driver's License
Quick Apply
College Advising Mentor
IMPROVE YOUR TOMORROW —Sacramento, CA
- $2,017.14 - $21,180.00 a month
- Weekends as needed
- Background check
- Spanish
- Google Workspace
- Health insurance
8d
Accounts Receivable Specialist
Johnstone Supply —N Highlands, CA
- $22 - $26 an hour
- No weekends
- Office
- High school diploma or GED
- Entry level
- Health insurance
- Dental insurance
Quick Apply
2d
Merchandiser/Cashier
O'Reilly Automotive Stores —Citrus Heights, CA
- $16.50 - $24.50 an hour
- Merchandising
- Driving
- Organizational skills
- Employee stock purchase plan
- Health insurance
Quick Apply
Sr. Certified Coder, Acute Inpatient (Remote)
Adventist Health —Roseville, CA
- $36.91 - $48.16 an hour
- Remote
- Mid-level
- High school diploma or GED
- Experience equivalent to degree accepted
13d
INFORMATION TECHNOLOGY SPECIALIST II
Department of Public Health —Sacramento County, CA
- $8,625 - $11,557 a month
- Online Application
- Hybrid work
- Office
- Presentation skills
- Team management
7d
INFORMATION TECHNOLOGY SPECIALIST I
Department of Insurance —Sacramento County, CA
- $6,513 - $10,537 a month
- Overtime
- Hybrid work
- Research
- Office
- Java
- Travel reimbursement
- Wellness program

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Sr. Denial Specialist (Remote)

Stanford Health Care -
Sacramento, CA

Apply Now

Job Details

Full-time
$38.91 - $43.82 an hour
14 days ago

Qualifications

Regulatory compliance
High school diploma or GED
ICD-9
ICD-10
HCPCS
Medical terminology

Full Job Description

1.0 FTE Full time Day - 08 Hour R2657991 Remote USA 108530009 Rev Cycle Denials Finance & Revenue Cycle

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
The Senior Denial Specialist is responsible for the timely and accurate resolution of denied claims in accordance with current contracts, federal regulations, and SHC policies. The Senior Denial Specialist serves as a subject matter expert and has extensive experience in denial resolution and recovery. Responsibilities may include high dollar and complex denial review and resolution, complex appeals, and serves as a mentor for new employees. The Senior Denial Specialist position is an expert-level position with a proven track record in hospital and physician denial resolution, and has an extensive knowledge of reimbursement requirements of all types of healthcare payers. A Senior Denial Specialist will act as a key resource for management in problem-solving difficult issues, analyzing complex accounts, and assisting with training needs.

Locations
Stanford Health Care

What you will do

Work a broad range of denied claims taking necessary actions to recover and resolve in accordance with contracts, federal regulations, and SHC policies
Conduct root-cause analysis on denied claims to identify opportunities for mitigation and escalation.
Monitor high dollar and complex denial work queues, follow up on denied or underpaid appealed claims, and track appeal deadlines
Collaborate with appropriate leadership and stakeholders to escalate trends and issues related to internal processes or external payer behavior.
Maintain accurate documentation in Epic and related systems; ensure compliance with privacy and regulatory requirements.
Support special projects related to high dollar or complex denials as assigned by management.
Provide cross-functional communication with Revenue Cycle teammates, payers, and patients as needed to resolve denial issues professionally.

Education Qualifications

High School diploma or GED equivalent

Experience Qualifications

Five (5) years of progressively responsible and directly related work experience in healthcare revenue cycle, with a minimum of three (3) years of direct experience in denial management.

Required Knowledge, Skills and Abilities

Working knowledge of government and non-government payer requirements, reimbursement rules, laws, and regulations that govern billing/collection activities
Working knowledge of Epic Hospital and/or Professional Billing; proficiency in Epic reporting preferred
Working knowledge of medical terminology, CPT-4, ICD-9/ICD-10, HCPCS, and modifiers, and how these items drive reimbursement
Analytical and problem-solving skills, with good judgment, attention to detail, and thorough follow-through
Excellent verbal and written communication skills; ability to present complex data clearly to stakeholders

Licenses and Certifications

CPC - Certified Professional Coder required Upon Hire or
CRCR - Certified Revenue Cycle Representative required Upon Hire

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $38.91 - $43.82 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Apply Now

Refine Your Search

cycle specialist jobs in roseville ca

Sr. Denial Specialist (Remote)

Sr. Clinical Denials Appeal Specialist (Remote)

INFORMATION TECHNOLOGY SPECIALIST I

INFORMATION TECHNOLOGY SPECIALIST I

Leave Specialist - REMOTE

Family Support Specialist

Curriculum Specialist (K-12 Generalist) - Part-time (California)

Senior Bilingual Collections Specialist (English/Spanish)

Payroll & Benefits Specialist

Healthcare AR/ Collections Specialist - Bilingual Spanish

Human Resources Generalist

Field Sales MSC Sacramento

Sales Specialist - California (Senior Living)

Talent Acquisition Specialist

College Advising Mentor

Accounts Receivable Specialist

Merchandiser/Cashier

Sr. Certified Coder, Acute Inpatient (Remote)

INFORMATION TECHNOLOGY SPECIALIST II

INFORMATION TECHNOLOGY SPECIALIST I

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