Top 3893 Plan review Jobs in Sacramento, Ca

Patient Account Representative II (Remote)
Stanford Health Care —Sacramento, CA
- $33.89 - $38.15 an hour
- Full-time
- Remote
- Writing skills
- Basic math
- Mid-level
4d
Document Controller / Business Analyst
Fluor Federal Services —Sacramento, CA
- $87,000 - $162,000 a year
- 6 years
- Research
- Mid-level
- AD&D insurance
- Disability insurance
6d
GPS - State Local and Education (SLED) Sales Executive Associate Director - CA
EY —Sacramento, CA
- $243,530 - $280,070 a year
- Bachelor's degree
- Conflict management
- Mentoring
- Paid holidays
- Health insurance
5d
Dentist
Nuvia Dental Implant Center —Roseville, CA
- $350,000 - $550,000 a year
- Dental office
- BLS Certification
- ACLS Certification
- Continuing education credits
- Paid holidays
Quick Apply
Senior Transportation Engineer
Boutique Recruiting —Sacramento, CA
- $135,000 - $175,000 a year
- Hybrid work
- Analysis skills
- Bachelor's degree
- Mentoring
- Paid holidays
- Health insurance
Quick Apply
Associate Attorney (Litigation) Opportunity
Krogh & Decker, LLP —Sacramento, CA
- $110,000 - $155,000 a year
- Full-time
- Hybrid work
- Employment & labor law
- Mid-level
- In-person
- Paid holidays
- Health insurance
Quick Apply
Paralegal
White Brenner LLP —Sacramento, CA
- $75,000 - $100,000 a year
- 8 hour shift
- Microsoft Word
- Background check
- 7 years
- Health insurance
- Dental insurance
Quick Apply
Registered Dental Hygienist
WellSpace Health —Sacramento, CA
- $51.00 - $69.14 an hour
- Full-time
- Bilingual
- Dental office
- Surgery
- Paid jury duty
- Paid holidays
Quick Apply
Clinical Operations Manager (Nurse Practitioner)
Infusion for Health —Sacramento, CA
- $150,000 - $160,000 a year
- Full-time
- Nursing
- Patient monitoring
- Word processing
- Dental insurance
- 401(k)
Quick Apply
Controller
Medina McKelvey LLP —Roseville, CA
- $120,000 - $140,000 a year
- Full-time
- CPA
- Writing skills
- Finance
- Health insurance
- Dental insurance
Quick Apply
10d
Occupational Therapist
Roseville Point Health& Wellness Center —Roseville, CA
- $57 - $61 an hour
- Full-time
- Background check
- CPR Certification
- Management
- Health insurance
Quick Apply
Physical Therapist Case Manager, Level 2: Home Health
21st Century Home Health Services Inc. —Elk Grove, CA
- $125,000 - $160,000 a year
- Choose your own hours
- CPR Certification
- Computer literacy
- BLS Certification
- Continuing education credits
- Health insurance
Quick Apply
Supervisor, Procurement - IT Procurement
Inland Empire Health Plan —California
- $104,041.60 - $137,841.60 a year
- Full-time
- Hybrid work
- Office
- High school diploma or GED
- Supervising experience
- Disability insurance
- Health insurance
Quality Manager
Balanced Body Inc —Sacramento, CA
- $120,000 - $150,000 a year
- Full-time
- Spanish
- 7 years
- English
- Paid holidays
- Disability insurance
Quick Apply
2d
Project Superintendent
Superior Tank Solutions —Sacramento, CA
- $80,000 - $100,000 a year
- Full-time
- Hybrid work
- Construction site
- 5 years
- Driver's License
- Health savings account
- Health insurance
Quick Apply
Human Resources Business Partner
Employer's Guardian —Rancho Cordova, CA
- $75,000 - $95,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Writing skills
- Research
- Health insurance
- Dental insurance
Quick Apply
Compliance & Regulatory Audit Manager
Alhambra EP, LLC —Sacramento, CA
- Full-time
- Microsoft Word
- Microsoft Outlook
- Bachelor of Science
11d
Commercial HVAC Foreman
Brower Mechanical —Rocklin, CA
- $72,800 - $99,840 a year
- Overtime
- Microsoft Word
- Background check
- Clean driving record
- Health insurance
- Dental insurance
MDS Coordinator
Double Tree Post Acute —Sacramento, CA
- From $46.53 an hour
- Full-time
- Anatomy knowledge
- Skilled nursing facility
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Conservation Projects Director (Hybrid)
The Wildlands Conservancy —California
- $85,000 - $110,000 a year
- Full-time
- Hybrid work
- Background check
- Up to 50% travel
- 5 years
- Paid jury duty
- AD&D insurance
Quick Apply

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plan review jobs near sacramento, ca

Patient Account Representative II (Remote)

Stanford Health Care -
Sacramento, CA

Apply Now

Job Details

Full-time
$33.89 - $38.15 an hour
4 days ago

Qualifications

Confidential information handling
Medical software
Writing skills
Basic math
Health insurance policy knowledge
Patient management software
High school diploma or GED
Computer skills
Patient interaction
Medical terminology

Full Job Description

1.0 FTE Full time Day - 08 Hour R2658956 Remote USA 108530005 Rev Cycle PFS 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 Patient Account Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various capacities to support the primary goal of the business office to resolve of unpaid, underpaid, denied or unresolved patient accounts.

Depending on the specific team, the PAR's focus may be on a mix of various responsibilities from across the Patient Financial Services (PFS) operations. Responsibilities may include:

Accounts receivable collections and payer follow-up

Payer clerical and technical denial review and request processing including basic appeals

Payment posting and batch reconciliation

Credit balance review and resolution

Retroactive eligibility and registration

Underpayment reconciliation

Client or other special billing

The PAR II works primarily in Epic, under general supervision, to perform the full range of duties for assigned class. This role requires a strong working knowledge of systems and processes. A PAR II is expected to resolve standard queries and problems independently and works on assignments that are moderately complex in nature where critical thinking is required.

Locations
Stanford Health Care

What you will do

Responding to requests from the payer, such as providing medical records or other documentation either by mail or via payer portals
Following up on unresolved patient accounts in Epic by contacting the payer by phone or via the portal
Resolving claim edits
Reviewing payer variances and pursuing underpayments to payers
Reviewing and resolving payer rejections, denials, and performing appeals as necessary
Electronic or hardcopy claims editing and submission to payers
Recognizing potential trends and escalating them as appropriate
Posting payments in Epic, as well as related adjustments
Resolving credit balances
Completing basic charge corrections

Education Qualifications

High school diploma or GED equivalent

Experience Qualifications

Two (2) years of progressively responsible and directly related work experience

Required Knowledge, Skills and Abilities

Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager
Can maintain professional communication with various PFS staff, payers, and patients regarding the billing of services.
Ability to follow oral and written instructions and interpret institutional and other policies accurately
Ability to communicate clearly and professionally both verbally and in writing
Ability to maintain confidentiality of sensitive information
Ability to perform basic mathematics
Ability to plan, prioritize, and meet deadlines
Ability to work effectively with individuals at all levels of the organization
Knowledge of accounts receivable software systems and medical billing operations
Familiarity with medical reimbursement policies and procedures and medical terminology
Knowledge of payer landscape, including Medicare, Medicaid, Workers’ Compensation, Managed Care, or other Commercial insurance

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 $33.89 - $38.15 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

plan review jobs in sacramento, ca

Patient Account Representative II (Remote)

Document Controller / Business Analyst

GPS - State Local and Education (SLED) Sales Executive Associate Director - CA

Dentist

Senior Transportation Engineer

Associate Attorney (Litigation) Opportunity

Paralegal

Registered Dental Hygienist

Clinical Operations Manager (Nurse Practitioner)

Controller

Occupational Therapist

Physical Therapist Case Manager, Level 2: Home Health

Supervisor, Procurement - IT Procurement

Quality Manager

Project Superintendent

Human Resources Business Partner

Compliance & Regulatory Audit Manager

Commercial HVAC Foreman

MDS Coordinator

Conservation Projects Director (Hybrid)

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