- Sharp HealthCare (La Mesa, CA)
- …ensures that all claims submitted comply with rules and regulations governing Medicare and Medi - Cal billing . The Manager determines appropriate staffing ... account activities from admission notification through creation of final billing product. The Manager is accountable for...education regarding the rules and regulations governing Medicare and Medi - Cal patient registration and billing .… more
- 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
- System One (Los Angeles, CA)
- …subcontracted 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 ... Health- Substance Abuse Prevention and Control (SAPC). The Drug Medi - Cal Manager will also collaborate...Management treatment. Essential Functions + Oversight of invoicing and billing for DMC, CM-RI, FDDC, and RBH + Supervise… 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
- 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
- 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)
- …counselor type of roleStrong financial management skillsExperience and working knowledge of Medi - Cal , HMO's, PPO's, third party payors, etc., authorizations and ... Neuroscience and Human behavior is seeking to hire a full-time Assistant Manager for the Psychiatry Department. You will oversee departmental and functional… 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
- Dignity Health (Sacramento, CA)
- …to ensure claims are populated with correct/proper coding based on Medicare and Medi - Cal billing guidelines. Responsible for updating CDM dictionary. ... the Human Trafficking Medical Home. **Responsibilities** The incumbent is knowledgeable in billing procedures with a variety of payer sources. Has knowledge in the… more
- Sharp HealthCare (Chula Vista, 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
- Sutter Health (Los Altos, CA)
- …regarding multispecialty provider organizations and occupational health provides as set by Medi - Cal , Medicare, Workers' Compensation, and other payors. + General ... AND KNOWLEDGE:** + Extensive knowledge of health care contract and billing terminology, provisions and reimbursement methodologies including managed care risk… more
- UCLA Health (Los Angeles, CA)
- …manner. + Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi - Cal , CCS programs and other sponsoring agencies. + Ability to work ... and orderly manner at the direction of the Office Manager . + Sufficient knowledge of ophthalmology and its related...it applies to the eye. + Familiarity with current billing practices including governmental plans. + Experience scheduling patient… 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