and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Supervisor, Provider Claims... and delegate to appropriate units for processing. Supervises Claims Appeals Resolution team members including questions...
and reports to the Medi-Cal Claims Supervisor. Reviews all work audits in a timely manner and submits any adjustments...Overview: To review, research, and resolve claims for all Medi-Cal claim types within established production...
and reports to the Medi-Cal Claims Supervisor. Reviews all work audits in a timely manner and submits any adjustments... of claims processing and/or Medi-Cal billing, CPT, and ICD-10 knowledge preferred. Performance Based Competencies...
of PHC Claims Policy and Procedures for all lines of business, Medi-Cal Provider Manual, Title 22 regulations, Knox Keene... both on-site and regional site(s) Provide feedback and recommendation to the Claims Audit Supervisor and Associate Director...
medical claims Experience preferably in an HMO or Managed Care setting Medicare and/or Medi-Cal experience preferred Prior... Claims Manager and Supervisor, the Lead Claims Processor is responsible for fulfilling the technical support needs of claims...
experience requirement. Preferred: At least 5 years of experience working with a California Medi-Cal managed care plan... or comparable claims processing system. Advanced knowledge of the healthcare domain, focusing on claims processing, membership...
Required: At least 2 years in Medi-Cal managed supervisory experience in a health plan/health insurance authorization processes.... Medi-Cal, Healthy Families, Healthy Kids and Medicare background preferred. Skills Required: Strong verbal...
to identify and pursue underpaid government (Medicare, Medi-Cal), commercial and managed care claims related to hospital... are current with required codes, bill forms, electronic claims processing tools and documentation rules. Ensures that billing...
a patient financial service setting Preferred: Experience with managed care and Medicare/Medi-Cal Billing regulations... to process or resolve claims. Contacts patient and/or account guarantor to solicit payment on account. Works all accounts...
a patient financial service setting Preferred: Experience with managed care and Medicare/Medi-Cal Billing regulations... to process or resolve claims. Contacts patient and/or account guarantor to solicit payment on account. Works all accounts...
Outpatient Program (AOP), Drug Medi-Cal (DMC), Recovery Bridge Housing (RBH), and the CalAIM Community Housing Navigation... Services (CHNS) programs. Essential Functions Check Medi-Cal eligibility on new clients and verify Medi-Cal status...
to review denied claims and write appeals for such claims. Audits and coordinates completion of patient records.... 5. A. Working knowledge of Title XVII and Title XIX. B. Working knowledge of reimbursement related to Medicare, Medi...
billing accuracy, and processing claims for various payer sources. This position plays a critical role in maximizing revenue... a Medical office setting. Experience with Medicare, Medi-cal, Cross over insurances, HMO, County and Sliding Fee Discount...