- Sutherland Global Services (Torrance, CA)
- …will have: + Minimum 3 - 5 years strong experience with California Medicaid ( Medi - Cal ) In-patient billing and collection guidelines + Experience in ... accountable, dynamic & people person to join us as an Associate Manager to oversee customer deliverables, process maintenance & improvement, and people management… more
- Guidehouse (Gardena, CA)
- …**:** None **What You Will Do** **:** The **Insurance Patient Account Representative - Medi - Cal / HMO Emphasis** is an extension of a client's business office ... **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** +..., Talent Acquisition) at ###_** **Essential Job Functions** + Medi - Cal & HMO Claims + Account Review… more
- City and County of San Francisco (San Francisco, CA)
- …and implements billing regulations and provider updates related to Medicare and Medi - Cal . The 1664 Patients Accounts Manager also performs other related ... processing, and/or collecting healthcare service reimbursements or medical claims from Medi - Cal (Medicaid), Medicare, insurance, third party payors, and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …for the collection of outstanding balances from all Commercial HMO PPO Medi - Cal & Managed Care payors professional claims. Responsible for identifying ... JOB SUMMARY: Under the direction of the Supervisor Professional Billing & Coding follows Federal State & local regulatory...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Scripps Health (San Diego, CA)
- …and revenue coding with an ability to interpret and apply Medicare and Medi - Cal and other third-party payor billing regulations. Demonstrates exceptional ... and monitor CDM changes. Provides other support to the Manager Chargmaster as needed. CDM responsibilities include but are...to all applicable departments. * Reviewing all Medicare and Medi Cal newletters updates performs periodic review… more
- UCLA Health (Los Angeles, CA)
- …and coding + Familiarity with CPT, HCPCS, ICD-10 coding, revenue codes, and hospital billing /claims processing + Knowledge of Medi - Cal financing rules and ... trend/budget + Prepare month-end journal entries to report the value of Medicare, Medi - Cal , contracts, and other payor revenue and accounts receivable + Ensure… more
- Nevada County (Grass Valley, CA)
- …Your experience in understanding the complicated web of Mental Health Services Act, Medicare, Medi - Cal , Drug Medi - Cal Organized Delivery Systems, and ... and certify all network and organizational providers for compliance with state/federal Medi - Cal and DMC-ODS requirements and process all required filings for… more
- Sharp HealthCare (San Diego, CA)
- …system experience. **Essential Functions** + **QUALITY** Assures compliance with all Medicare and Medi - Cal billing regulations by reviewing bulletins and ... direction of the Vice President Hospital Revenue Cycle, the ** Manager , Revenue Cycle A/R Management** is responsible for all...billings are in compliance with Payer Contract, Medicare and Medi - Cal billing regulations. No facility… more
- Sharp HealthCare (San Diego, CA)
- …Medicare inpatient admits.Complies with all rules and regulations governing Medicare and Medi - Cal billing .Any additional functions as described in Department ... billing activities including JCAHO, Title XXII, Medicare and Medi - Cal regulations. ICD-9, and CPT 4 coding... or authorization delays. Provide Team Leader and or manager with any account issues that were unresolved.Accurately follows… more
- Trinity Health (Farmington Hills, MI)
- …discrepancies initiating corrective action as needed. Maintains current knowledge of Medicare, Medi - Cal , Medicaid, and Managed Care billing compliance ... and requirements across multiple regions and states, as they pertain to charges, billing and coding. Reports denial data, financial impact of denials, and the… more
- UCLA Health (Santa Monica, CA)
- … will manage a panel of clients and report progress regularly to contracted Medi - Cal Managed Care Plans (MCPs) and complete documentation as required by the ... Description The Homeless Healthcare Collaborative care manager functions as a part of the street...MCPs for coordination and billing purposes. The ideal candidate should possess a commitment… more
- LA Care Health Plan (Los Angeles, CA)
- …and Adjustments, Share of Cost, MOU; Membership - Enrollment, Medicare, Medi - Cal , Covered California, Dual eligibility, retro-active membership; Varied ... Enterprise Shared Services Program Manager II (Limited Duration- 12 months)) Job Category:...API Experience working on: Claims - Intake, adjudication, premium billing , capitation and FFS check runs, batch jobs, accumulators,… more
- UCLA Health (Los Angeles, CA)
- …related field (preferred) Prior clinical and laboratory experience Working knowledge of Medi - Cal , HMO's, PPO's, third party payors, etc., authorizations and ... Description The Department of Psychiatry is seeking to hire a full-time Care Manager to join the TMS Clinic. You will perform essential functions of care management… more
- Sutter Health (Sacramento, CA)
- …working knowledge of federal and state reimbursement program requirements (eg, Medicare and Medi - Cal ) and federal and state fraud and abuse, anti-kickback, and ... and quality standards. * Understanding of healthcare operations, revenue cycle, billing , coding, and healthcare it environments. * Written and verbal communication… more
- John George Psychiatric Pavilion (Oakland, CA)
- …related to annual CPT updates, quarterly HCPCS updates, payor specific updates (eg Medi - Cal , CPSP, etc.) 3. Processes CDM change requests and coordinates with ... Alameda Health System. Determines the CPT/HCPCS codes, revenue center codes and billing information to support accurate and correlated to each payer. Accountable for… more
- Sharp HealthCare (La Mesa, CA)
- …point of registration. Complies with all rules and regulations governing Medicare and Medi - Cal billing .* Verify accurate demographic and visit data ensuring ... general updates, including assisting with prebilling functions as assigned.* Assures billing compliance standards are met.* Check DDE for Medicare eligibility.*… more
- Sharp HealthCare (San Diego, CA)
- …coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi - Cal .Use Coordination of Benefits (COB) standards to prioritize billing ... registration/ billing activities including Joint Commission, Title XXII, Medicare and Medi - Cal regulations. + Knowledge of ICD-10, CPT, and/or RVS coding.… more
- Stanford Health Care (Palo Alto, CA)
- …+ Industry Knowledge:o Strong knowledge of eligibility and enrollment requirements for Medicare, Medi - Cal , Workers Comp, Managed Care (HMO, PPO, POS, etc ), ... training as appropriate. + Provides feedback to the Financial Counseling manager regarding Financial Counselors skill progression, performance and areas of… more
- Rick's Medical Supply (Eugene, OR)
- …post acute care. + Understanding of current rules and regulations of Medicare, Medi - Cal and other insurances. + Excellent written and oral communication skills, ... expense reports, weekly conference calls, emails, monthly sales meeting, billing documentation and follow up. + Be able to...Performs other duties, as assigned by the regional sales manager . + Understand and adheres to all of SuperCare… more
- Insight Global (Fresno, CA)
- …being prescribed -Must be able to explain/differentiate between set commercial rate vs. Medicare/ Medi - cal allowable null We are a company committed to creating ... and in team setting. - Deliver monthly KPI's to manager on time for prior month. We are a...setting working with medical insurance and financial matters (medical billing ) -Needs to be able to explain cost/ insurance… more