Job Details

Prime Healthcare - - Responsibilities: Submit claims to intermediaries and ensure coding compliance with payers (Medi-Cal/Medicare); Obtain required authorizations for processing and payment of claims; Perform follow-up and denial management for final resolution; Identify diagnosis and procedure codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement; Maintain productivity standards and input/retrieve patient information as needed