- 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 ... (claims, enrollment, readiness). Preferred: Direct experience with duals population and requirement. Medi - Cal : Required: Experience serving Medi - Cal … more
- TEKsystems (Covina, CA)
- Description: Experience with: - Medi - Cal receivables - Collections - Billing - inpatient/outpatient hospital billing/collections - preparation of UBO 4 forms - ... Skills & Qualifications: 4+ years experience in hospital billing/collections most importantly medi - cal experience Medi - cal collections and billing… 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,… 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
- LifeSteps (Sacramento, CA)
- …Management (ECM), Community Supports (CS), and Community Health Worker (CHW) services for Medi - Cal eligible adults (18 and older). Initially, referrals will come ... LifeSTEPS' own affordable and permanent supportive housing residents who are Medi - Cal and Medicare eligible. This role ensures comprehensive and quality service… more
- Ventura County (Ventura, CA)
- …claims appropriately for timeliness in reimbursement and billing compliance with Medi - Cal , Medicare, and general insurance reimbursement requirements. IDEAL ... complexities of payment systems, including CPT, ICD-10, and HCPCS codes for Medicare and Medi - Cal payment processing. They are adept with the Medi - Cal … more
- LA Care Health Plan (Los Angeles, CA)
- …considered. Education Preferred Experience Required: At least 3 years of Commercial Medicare/ Medi - Cal Product Experience (Product & Benefit knowledge) and of ... Care Covered (LACC), LA Care Covered Direct (LACCD), PASAC lines of business. Medi - Cal Plan Partners: Required: Experience serving Medi - Cal population.… more
- Ventura County (Ventura, CA)
- …appropriately for timeliness in reimbursement and billing compliance with Medi - Cal , Medicare, and general insurance reimbursement requirements. DISTINGUISHING ... 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… 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… 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 ... to manage multiple priorities and projects and meet deadlines. Knowledge of Medi - Cal Managed Care principles and/or government programs. Persuasion Skills: 1.… more
- Children's Hospital Los Angeles (Glendale, CA)
- …Medical 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,… more
- County of El Dorado (Placerville, CA)
- …alternative schedule and telecommuting. The ideal candidate will have knowledge of Medi - Cal Specialty Mental Health guidelines as well as experience conducting ... Program. Experience using the ASAM Criteria and documenting in accordance with Drug Medi - Cal standards is highly desirable. The County of El Dorado is supportive… 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 ... choices. The Care Manager is the primary point of contact for Medi - Cal beneficiaries and directly provides care management and care coordination services. Care… 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 ... providing customer service in a case management setting; + Knowledge of Medi - Cal claims; + Experience conducting investigative interviews on patients and/or… more
- UCLA Health (Los Angeles, CA)
- …accurately, and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi - Cal , and other policies. You'll apply your extensive knowledge of hospital ... and conducts special project reviews. + Maintain compliance with CMS, Medi - Cal , and health plan billing regulations. + Analyze complex billing/financial data.… more
- Ventura County (Ventura, CA)
- …to develop reports and dashboards in support of large reporting programs, such as Medi - Cal Quality Incentive Pool (QIP), Cal -AIM, Uniform Data System (UDS), ... submission DESIRED: + Experience developing reports for large programs like the Medi - Cal Quality Incentive Pool Program (QIP), CalAIM, GPP, Office of Statewide… more
- Global Communities (San Diego, CA)
- **Overview** The Housing Navigator will provide assistance to Medi - cal recipients who are homeless or at risk of becoming homeless.TheHousing Navigator will ... or as a Community Health Worker + Familiarity with publicbenefits including Medi - Cal , WIC, and Cal -Fresh. + Comfort using video conferencing technology… more
- WelbeHealth (Columbus, OH)
- …Manager helps ensure this by obtaining and developing provider partnership contracts (Medicare & Medi - Cal ) in our existing and future markets in order to best ... + Prepare contract templates and negotiate optimal rates within Medi - Cal /Medicare and value-based environments across varying methodologies (specialties,… more