- 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
- TEKsystems (Covina, CA)
- Description: Experience with: - Medi -Cal receivables - Collections - Billing - inpatient/outpatient hospital billing/collections - preparation of UBO 4 forms - ... & Qualifications: 4+ years experience in hospital billing/collections most importantly medi -cal experience Medi -cal collections and billing Follow Up insurance… more
- Superior Ambulance Service (Elmhurst, IL)
- Overview Illinois Medi -Car has immediate openings for full-time drivers to transport wheelchair-bound individuals to healthcare facilities, hospitals, testing ... 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
- Emanate Health (West Covina, CA)
- …provide home visitation services to establish a referral partnership with GEM Medi -Cal assistance services. The HVHN will contribute to a supportive infrastructure ... for home visitation programs and contact for participants enrolling in Medi -Cal and/or "troubleshoot" an existing applications, utilization and renewal services.… more
- Robert Half Accountemps (Los Angeles, CA)
- …navigation of electronic medical records, and compliance to Government policies. Requirements Medi -Cal FFS, Medicare, UB04 Robert Half is the world's first and ... largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and… more
- UCLA Health (Los Angeles, CA)
- Description As a Medi -Cal Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient ... collection efforts. Your primary responsibilities include: + Conducting regular account reviews to identify outstanding balances. + Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies. + Diligently following… more
- UCLA Health (Los Angeles, CA)
- Description As the Medi -Cal Pre Biller, you will be responsible for: + Accurately processing of Inpatient and Outpatient claims to all payers, specifically ... government and commercial payers + Interpreting payer contracts, processing contractual adjustments, knowledge of late charge process + Primary, secondary, and tertiary billing + Verifying benefits and eligibility + Applying all mandated billing guidelines +… 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)
- …Education Preferred Experience Required: At least 3 years of Commercial Medicare/ Medi -Cal Product Experience (Product & Benefit knowledge) and of California Health ... Covered (LACC), LA Care Covered Direct (LACCD), PASAC lines of business. Medi -Cal Plan Partners: Required: Experience serving Medi -Cal population. Skilled in… more
- Ventura County (Ventura, CA)
- …for timeliness in reimbursement and billing compliance with Medi -Cal, Medicare, and general insurance reimbursement requirements. DISTINGUISHING CLASSIFICATION ... II - Two (2) years of professional medical billing experience including billing in Medi -Cal and/or chemotherapy OR one (1) year as a Medical Billing Specialist I for… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- **Job Summary:** The purpose of this position is to bill all outpatient Medi -Cal and Medi -Cal managed care claims electronically and/or hard copy. **Job ... 5 years experience in a hospital patient accounting setting strongly preferred. Medi -Cal working knowledge required. Proficient in outpatient facility Medi -Cal… 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
- Children's Hospital Los Angeles (Glendale, CA)
- …Providers (CHAMPS) and Pathology LP, across all lines of businesses (Commercial, Medi -Cal, FFS, VBC, APM) for whom the Enterprise provides facility and professional ... services. This leader oversees strategic development of Medi -Cal reimbursement and alternative payor models, as well as negotiation, communication, implementation… more
- Actalent (San Bernardino, CA)
- …criteria, contract vs. non-contracted. - Must be familiar with health plans, HMO, PPO, Medi -care fee for services, ACO, Medi -Cal, Medi - Medi and ... CalMediConnect product lines. - Working knowledge of Medicare guidelines as it relates to length of stay, covered bed days, issuing denial notices, working with Livanta, issuing DENCs and NOMNCs. - Responsible to create initial profile on all admitted… more
- County of El Dorado (Placerville, CA)
- …schedule and telecommuting. The ideal candidate will have knowledge of Medi -Cal Specialty Mental Health guidelines as well as experience conducting mental ... the ASAM Criteria and documenting in accordance with Drug Medi -Cal standards is highly desirable. The County of El...vary . The ideal candidate will have knowledge of Medi -Cal Specialty Mental Health guidelines and experience conducting mental… more
- Volunteers of America Southwest (San Diego, CA)
- …Care Management (ECM) program provides a whole person approach to care for Medi -Cal beneficiaries. VOASW believes in individualizing services based on need and what ... Care Manager is the primary point of contact for Medi -Cal beneficiaries and directly provides care management and care...Regularly review and update care plan. + Work with Medi -Cal and community providers to coordinate services for members… 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
- UCLA Health (Los Angeles, CA)
- …and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi -Cal, and other policies. You'll apply your extensive knowledge of hospital billing, ... and conducts special project reviews. + Maintain compliance with CMS, Medi -Cal, and health plan billing regulations. + Analyze complex billing/financial data.… more
- WelbeHealth (Columbus, OH)
- …helps ensure this by obtaining and developing provider partnership contracts (Medicare & Medi -Cal) in our existing and future markets in order to best serve our ... + Prepare contract templates and negotiate optimal rates within Medi -Cal/Medicare and value-based environments across varying methodologies (specialties, hospitals,… more