- Careers Integrated Resources Inc (Tacoma, WA)
- …working with rehabilitation teams to support recovery plans. Familiarity with UDS PRO Medi Tech and Pinpoint is essential. Candidates must be adaptable to fast-paced ... patient care. . Maintain accurate and timely documentation in the UDS PRO Medi Tech EHR system. . Assist patients with mobility, including transfers, ambulation, and… more
- TTS Technologies (Anaheim, CA)
- …set by the Centers for Medicare & Medicaid (CMS), commercial insurance plans, medi -cal and managed care plans. Develop regular reports and participate in regular ... meetings on the status of claims more
- Careers Integrated Resources Inc (Costa Mesa, CA)
- …Covered California (Exchange), capitation, commercial and government payors (ie Medicare, Medi -Cal, Tricare, etc.) and how these payors process claims. . ... Demonstrates knowledge of and effectively uses patient accounting systems. . Documents all calls and actions taken in the appropriate systems. . Accurately codes insurance plan codes. . Establishes a payment arrangement when patients are unable to pay in full… more
- LA Care Health Plan (Los Angeles, CA)
- Medi -Cal Product Solutions Manager II Job Category: Sales & Marketing Department: Medi -Cal Product Management Location: Los Angeles, CA, US, 90017 Position Type: ... readiness). Preferred: Direct experience with duals population and requirement. Medi -Cal: Required: Experience serving Medi -Cal population. Preferred:… more
- WelbeHealth (North Hollywood, CA)
- …School Diploma or Equivalency * Minimum three years of relevant Medi -Cal/Medicaid enrollment experience, including share of cost, spousal impoverishment protections ... working directly with the county DPSS submitting, managing, and appealing Medi -Cal enrollments. * Demonstrate in-depth experience with complex Medi -Cal… more
- Superior Ambulance Service (Elmhurst, IL)
- …Critical Care, helicopter, and fixed wing emergency medical transportation. Illinois Medi -Car, a unit of Superior Ambulance Service, has immediate openings for ... levels of skill in all areas required of a Medi -Car Driver, including the ability to move a wheelchair...up and down stairs, in and out of the Medi -Car. + Provide appropriate patient care as stipulated in… more
- Centene Corporation (Sacramento, CA)
- …Position Location: Remote - Los Angeles CA **Position Purpose:** The Vice President, Medi -Cal Regional Lead will be responsible for leading a geographic region or ... and integrating strategic planning and tactical execution across the Medi -Cal line of business in that region. This role...+ Maintain integrity, stability, and overall profitability of the Medi -Cal program at the local level. + Set regional… more
- UCLA Health (Los Angeles, CA)
- Description The Hospital Senior Collections Representative - Medi -Cal HMO manages a specific portfolio of inpatient and outpatient claims to maximize collection ... expertise in complex collections investigations and resolution. + Experience in Medi -Cal HMO Collections, highly desired + Thorough understanding of UB04… more
- Wolters Kluwer (Chicago, IL)
- …tools needed for creating best in class drug content for our customers. Medi -Span technology products are critical components of the clinical workflow when embedded ... in today's electronic health record systems and pharmacy systems. The Technical Product Manager will work on the Editorial Engineering team supporting Wolters Kluwer Health's Clinical Effectiveness (CE) organization to drive drug data creation across the… more
- Sutherland Global Services (Torrance, CA)
- …have: + Minimum 3 - 5 years strong experience with California Medicaid ( Medi -Cal) In-patient billing and collection guidelines + Experience in supporting Self Pay - ... Collections + Inbound and Outbound Services: Minimum of 1-2 years + Be attentive to details + Be able to work in a fast-paced environment + Have good working knowledge in MS Office applications: Access, Word, Excel, & PPT + Be able to adjust quickly and… more
- Ventura County (Ventura, CA)
- …appropriately for timeliness in reimbursement and billing compliance with Medi -Cal, Medicare, and general insurance reimbursement requirements. IDEAL CANDIDATE The ... including CPT, ICD-10, and HCPCS codes for Medicare and Medi -Cal payment processing. They are adept with the ...Medi -Cal payment processing. They are adept with the Medi -Cal Provider Manual and the TAR process, ensuring accurate… more
- LA Care Health Plan (Los Angeles, CA)
- …financial performance review, operational functions (claims, enrollment, readiness). Medi -Cal: Required: Experience serving Medi -Cal population. Preferred: ... eligibility requirements, benefits, enrollment processes, and regulatory requirements governing Medi -Cal managed care plans. Understanding of managed care principles… more
- Ventura County (Ventura, CA)
- …Revenue Accounting + Acts as the main contact at the agency for Medi -Cal contract providers for budgeting, rate development and financial reporting. Oversees and may ... prepare the fiscal portion of contracts for Medi -Cal providers; + Prepares state, county, department cost, revenue...were with Mental Health, Substance Use Services, and/or hospital Medicare/ Medi -Cal cost reporting; OR one (1) year as a… more
- Aston Carter (Stockton, CA)
- …include charges, payments, adjustments, and any follow-up necessary for Self-Pay, Medi Cal, Medicare, and third-party payers. . Reviews patient chart documentation ... records to determine billable services based on payer. guidelines that include Medi -Cal, Medicare, Commercial, and State Specialty Programs. . Evaluate the accuracy… more
- City and County of San Francisco (San Francisco, CA)
- …A&G Program Training Analyst, the program specialist will develop and conduct Medi -Cal and CalFresh training modules that will teach Federal and State regulations, ... in a variety of meetings related to CalFresh and Medi -Cal eligibility determination. Act as a program liaison as...or more of experience determining eligibility for CalFresh and Medi -Cal programs + One (1) year or more of… more
- Sharp HealthCare (San Diego, CA)
- …- documentedDissemination of admission forms - CMRI letter, ADHC, Medi -Cal questionnaireSignatures: COA, CMRI letter, financial waiver, denial lettersMedical record ... numbers are not duplicatedScreen accounts and make appropriate Medi -Cal and CMS referrals to HOS workers.Screens all Medicare inpatient admissions for 72-hour… more
- Ventura County (Ventura, CA)
- …Previous experience working with Federal (ie, Social Security) and/or State (ie, Medi -Cal) programs or private and public health insurances; + Previous experience ... providing customer service in a case management setting; + Knowledge of Medi -Cal claims; + Experience conducting investigative interviews on patients and/or clients;… more
- LA Care Health Plan (Los Angeles, CA)
- …delivering training programs and making presentations. Preferred: 2 years of Medi -Cal, Medicare or commercial product compliance. Regulatory change management and ... manage multiple priorities and projects and meet deadlines. Knowledge of Medi -Cal Managed Care principles and/or government programs. Persuasion Skills: 1. Ensuring… more
- System One (Los Angeles, CA)
- …Manager Summary Under the direction of the Senior SUD Manager, the Drug Medi -Cal Program Manager is responsible for the programmatic and contract tasks associated ... staff to the delivery of SUD and collateral services as needed. The Drug Medi -Cal Manager will also plan, track, measure, and report on the status of SUD… more
- City and County of San Francisco (San Francisco, CA)
- …and contractual requirements under the Mental Health Plan and the Drug Medi -Cal Organized Delivery System contracts with the Department of Health Care Services ... and Local regulations and initiatives including Mental Health Services Act (MHSA), Medi -Cal, Drug Medi -Cal Organized Delivery System (DMC-ODS), Mental Health SF,… more
