Talent.com
Coding and Charging Capture Integrity Analyst

Coding and Charging Capture Integrity Analyst

KPC GLOBAL MEDICAL CENTERS INC.Hemet, CA, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Description

Job Description

SUMMARY :

Coding & Charging Capture Integrity Analyst frequently interact with patients, doctors, and insurance companies, so they need some experience with customer service tasks and the ability to maintain patient records and confidentiality and ensure that patient information is complete and up to date.

RESPONSIBILITIES AND DUTIES :

  • Obtain and verify insurance eligibility for services provided and document complete information in system
  • Determine patient’s financial responsibilities as stated by insurance
  • Configure coordination of benefits information
  • Ensure assignment of benefits are obtained and on file for Medicare claims if necessary

Resolve billing queries , which can include :

  • Bad addresses (call patient)
  • Missing authorizations (request from office)
  • Retrieval of Missing OP and or Consult Notes (retrieving from Citrix)
  • Other miscellaneous query reasons
  • Sort correspondence / EOBs and email to 3rd party billing company
  • Retrieval of EOBs and faxes
  • Request correct CPT and ICD-10 codes from providers
  • Processing of payment batches to 3rd party billing company.
  • Document all pertinent communication with patients, physicians, insurance company as it may relate to collection procedures
  • Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
  • Handle inbound calls from patients, physician offices, and / or insurance companies
  • Resolve claim rejections for eligibility, coverage, and other issues
  • Reviewing patient balance accounts, and making collection calls to patients requesting payment, and insurance companies if necessary.
  • Other duties as assigned.

    • EDUCATION & EXPERIENCE REQUIREMENTS :

  • Minimum of 6 months of insurance verification experience (healthcare) preferred SKILLS & ABILITIES

    • REQUIREMENTS :

  • Strong customer service skills
  • Medical billing experience preferred
  • Experience with payors preferred
  • Experience with prior authorizations preferred

    • PHYSICAL REQUIREMENTS :

  • Body Positions : Sitting and standing for prolonged periods.
  • Body Movements : Arm and hand dexterity.
  • Body Senses : Must have command of close and distant sight, color perception and hearing.
  • Strength : Ability to lift and move up to 25 pounds.
    • serp_jobs.job_alerts.create_a_job

    Coding Analyst • Hemet, CA, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Returns Analyst

    Returns Analyst

    Skechers U.S.A.Moreno Valley, CA, US
    serp_jobs.job_card.full_time
    The Returns Analyst is mainly responsible for fast and accurate entry of Returns related data into computer systems, generating department reporting, monitoring various elements of the department w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    PAYER ANALYST REPORT & RECOVERY - NON-GOVERNMENT ACCOUNTS

    PAYER ANALYST REPORT & RECOVERY - NON-GOVERNMENT ACCOUNTS

    Tri-City Medical CenterOceanside, CA, US
    serp_jobs.job_card.full_time
    Tri-City Medical Center has served San Diego County's coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Analyst Assistant

    Analyst Assistant

    Aston CarterTemecula, CA, US
    serp_jobs.job_card.full_time
    Financial Services company offers a dynamic and mission-driven environment where employees contribute to meaningful public sector projects that impact communities across California.With a strong em...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Board Certified Behavior Analyst / BCBA

    Board Certified Behavior Analyst / BCBA

    JobotHemet, CA, US
    serp_jobs.job_card.full_time +1
    Home-based Permanent BCBA - Paid Relocation + Sign-on Bonus.This Jobot Job is hosted by : Lauren Jessup.Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Quality Analyst

    Quality Analyst

    Howmet CorporationFontana, CA, United States
    serp_jobs.job_card.full_time
    Posting Date 09 / 08 / 2025, 04 : 06 PM .Locations 10685 Beech Ave, Fontana, CA, 92337, US .Remote Work Schedule Availability? None . LinkedIn Recruiter Tag #LI-CB2 .Export...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Inventory Cost Analyst / Accountant

    Inventory Cost Analyst / Accountant

    National Safety ApparelTemecula, CA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    We are a leading provider of high quality, dependable safety products for industrial workers & first responders that surpass today’s most rigorous safety standards.We strive to offer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Remote Commercial Banking Analyst - AI Trainer

    Remote Commercial Banking Analyst - AI Trainer

    Data AnnotationSan Jacinto, California
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Inventory Analyst

    Inventory Analyst

    Robert HalfVista, CA, US
    serp_jobs.job_card.permanent
    We are looking for a detail-oriented Inventory Analyst to join our team on a Contract-to-Permanent basis in Vista, California. This role involves ensuring accurate inventory data, maintaining system...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
    • serp_jobs.job_card.promoted
    Cost Analyst

    Cost Analyst

    Clayton HomesPerris, CA, US
    serp_jobs.job_card.full_time +1
    Job Status : Full-Time / Salary.The Cost Analyst will identify plant and cost department problems and will develop and implement improvement solutions. Cost Analyst will work with plant management to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Become a Luxury Brand Evaluator in Cabazon, CA- Apply Now

    Become a Luxury Brand Evaluator in Cabazon, CA- Apply Now

    CXGPalm Springs, CA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Turn your passion for luxury into a career opportunity.Explore the world of premium brands and make a lasting impact in fashion, beauty, jewelry, or automobiles. Join CXG, the global leader in custo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Board Certified Behavior Analyst (BCBA) - 10K Sign On

    Board Certified Behavior Analyst (BCBA) - 10K Sign On

    Butterfly EffectsOceanside, CA, US
    serp_jobs.job_card.full_time
    Join Butterfly Effects for Impactful ABA Careers in Autism Therapy.Are you a passionate BCBA seeking a rewarding career where your expertise drives real, lasting change for children with autism spe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Board Certified Behavior Analyst (BCBA / BCBA-D) - Yucaipa, CA

    Board Certified Behavior Analyst (BCBA / BCBA-D) - Yucaipa, CA

    Alora Behavioral HealthYucaipa, CA, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Board Certified Behavior Analyst (BCBA / BCBA-D).Hybrid – Telehealth & In-Person, Yucaipa, CA.Following our 2022 transformation, we've expanded access to care while staying true to our mi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Credit Analyst

    Credit Analyst

    TradeJobsWorkForce92507 Riverside, CA, US
    serp_jobs.job_card.full_time
    Conduct thorough analysis of financial statements and assessment of credit requests, including new requests, changed requests, refinancing and annual due diligence Provide recommendations tied to a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Board Certified Behavior Analyst (BCBA)

    Board Certified Behavior Analyst (BCBA)

    HealthPRO PediatricsTemecula, CA, United States
    serp_jobs.job_card.full_time +1
    If you're looking for a new place for your career to thrive and continue your professional growth, I have just the thing for you!. Board Certified Behavior Analyst (BCBA).The collaboration and suppo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Analyst - Earn Up to $37 / hr

    Analyst - Earn Up to $37 / hr

    TradeJobsWorkforce92519 Riverside, CA, US
    serp_jobs.job_card.full_time
    ESSENTIAL JOB FUNCTIONS Analyzes global markets for IT Services, servers, storage, backup, IT security, productivity software, remote monitoring services, hyperconvergence and IoT.Studies SMB and m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    PayPal Fraud Analyst

    PayPal Fraud Analyst

    TradeJobsWorkforce92503 Riverside, CA, US
    serp_jobs.job_card.full_time
    Be part of our success story as a PayPal Fraud Analyst to review transactions and identify suspicious activity.Work with your team to maintain efficiency and high standards.Stay adaptable to changi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Entry-Level Medical Coding Assistant

    Entry-Level Medical Coding Assistant

    Revel StaffingPalm Springs, CA, us
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    A confidential healthcare organization is seeking an.Entry-Level Medical Coding Assistant.This is a great opportunity for detail-oriented, analytical individuals looking to start a career in health...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Board Certified Behavior Analyst (BCBA / BCBA-D) - Oceanside, CA

    Board Certified Behavior Analyst (BCBA / BCBA-D) - Oceanside, CA

    Alora Behavioral HealthOceanside, CA, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Board Certified Behavior Analyst (BCBA / BCBA-D).Hybrid – Telehealth & In-Person, Oceanside, CA.Following our 2022 transformation, we've expanded access to care while staying true to our ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Inventory Cost Analyst - Paulson

    Inventory Cost Analyst - Paulson

    National Safety ApparelTemecula, CA, US
    serp_jobs.job_card.full_time
    The Inventory Cost Analyst is responsible for ensuring the accuracy and integrity of product costs and inventory valuation. This position works collaboratively with multiple business functions, incl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Board Certified Behavior Analyst (BCBA / BCBA-D) - Hemet, CA

    Board Certified Behavior Analyst (BCBA / BCBA-D) - Hemet, CA

    Alora Behavioral HealthHemet, CA, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Board Certified Behavior Analyst (BCBA / BCBA-D).Hybrid – Telehealth & In-Person, Hemet, CA.Following our 2022 transformation, we've expanded access to care while staying true to our miss...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30