- UpvoteDownvoteShare Job
- Suggest Revision
Demonstrated understanding of insurance, Medicaid, Medicare billing requirements. State License with one or more of the following licenses: Licensed Clinical Social Worker (LCSW), Licensed (Clinical) Professional Counselor (LPC or LCPC), or Licensed Marriage and Family Therapist (LMFT.
Part-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Under the direction of the PFS Manager, the Senior Government Billing and Collections Representative is responsible for a variety of payer yield activities related to accounts reimbursed by a government payer, including Medicare, Medicaid, TRICARE, and Veterans Administration, among others.
RemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Adjudicate all claims types including Dental, Vision and Medical claims for inpatient and outpatient facilities, physician claims, In and Out of Network claims, Medicaid reclamation (HIPD), outpatient lab and radiology, accident and Third-Party Liability (TPL) claims, by calculating benefit due to approve or deny, based on SPD and within accepted corporate cycle timeframe.
$33,280 - $47,271 a yearFull-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
- Suggest Revision
If employed at one of our senior living communities that receives Medicare or Medicaid funding, team members must not be considered an "Excluded Party" as defined by the U.S. Department of Health and Human Services, any state Medicaid Programs, and any additional federal and state government contract programs.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Abides by all documentation and coding conventions, ethical and professional standards and rules established by the Center for Medicare and Medicaid (CMS), and the American Health Information Management Association (AHIMA) for assignment of diagnostic and procedure codes and ultimately a working DRG.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Legal Specialist Sr. is responsible for leading support staff and providing legal support services for multiple Medicaid states, enterprise-wide functions, and/or the most complex litigation through highly complex legal assignments and projects, which utilize a recognized area of specialization and knowledge specific to the company.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Minimum of 5 years prior supervisory or demonstrated leadership experienceExtensive knowledge of Revenue Cycle, patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reportingThorough understanding of Medicare, Medicaid, HMOs, PPOs, and private insurance companies, as well as an understanding of ICD-10 and CPT coding, EMR PQRS, and Medicare Quality Initiatives.
Full-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Obtain managed care and Medi-Cal or Medicaid authorizations including bed holdsAssist with managing resident trust fund, including printing and distributing monthly statementsSupervise and train personnel involved in admissions, accounting, accounts payable, accounts receivable, resident funds/trusts, collections, petty cash, authorizations, PCC and/or other billing systems.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Life insurance, annuities, disability insurance, medical long term care, homeowner’s insurance, auto insurance, umbrella liability policies, and public insurance programs such as Social Security, Medicare, and Medicaid will be explored.
Part-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The position will be a key member of the cardio-obstetric team and will collaborate with the submission of quality measures to the Centers for Medicaid and Medicare Services (CMS) and Partnership for Quality Measurement (PQM), advocate for clinical guideline development with national professional organizations; conduct data analyses of UCI's cardio obstetric database; conduct studies, including community-engaged research, on patient CVD risk behaviors and social determinants of health.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Monitors for inquiry requests from the Department of Managed Health Care (DMHC), Medicare Complaint Tracking Module (CTM) from the Centers for Medicare Medicaid Services (CMS), the Medicare Quality Improvement Organization (QIO) and the State Hearing Office from Department of Social Services (DSS.
ExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Black PEARL Model (PI: Candice Lucas, MD & Carol Major, MD) aims to integrate care systems in partnership with a BIPOC (Black, Indigenous, and People of Color) community-based doula workforce in Orange County, recruited and trained with HERStory, Inc., and establish systemic integrated care with UCI Health, the only academic health center in Orange County.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors.
Part-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Experience in health and human services domains such as eligibility, enrollment, Medicaid, child welfare, and child support systems. Experience in health and human services domains such as eligibility, enrollment, Medicaid, child welfare, and child support systems.
Full-timeExpandApply NowActive JobUpdated 17 days ago
medicaid job Company: Association For Community Affiliated Plans in Irvine, CA
FEATURED BLOG POSTS
How to Write an Address Correctly: Explained with Examples
It's hard to imagine a scenario where a text or phone call just won't do these days. With communication at our fingertips, you may think learning how to write an address is a superfluous skill. But it's a skill that will come in handy when you need to fill out healthcare forms, ship a package, order food delivery, or even apply for new jobs.
What is Employment Participation Rate
According to economists, there are four factors of production that go into creating higher quality goods at lower prices. These are
How to Get Pay Stubs (From Previous Employee Also!)
Pay stubs are an important piece of document which shows your earnings in a given period, as well as any deductions made towards your health insurance or pension contributions. They’re also excellent for finding out how much your recent salary raise has bumped up your monthly net income.
How to Write a Job Description?
It might be tempting to overlook the importance of a well-written job description. After all, if you’ve posted job ads before and ended up with tons of resumes in hand, it’s easy to assume that this will always be the case, regardless of how your job ad reads. But, in reality, you really can’t take getting an influx of resumes for granted.
How to Get a W2 From Previous Employers
When tax time rolls around, the last thing you want to worry about is having to track down a W-2 from your former employer. Many times you won’t have to because the IRS requires companies to send these forms to all current and former employees who have earned more than $600 in the last year. Unfortunately, there are employers who don’t do what they’re supposed to. There are even times where something else may happen that prevents the W-2 from getting where it’s supposed to go.
How to Ask Someone to be a Reference + Email Templates
One part of the job-hunting process that frequently gets overlooked is putting together a list of good references. Most of the time we focus on creating the perfect resume, writing an awesome cover letter, and getting our hands on letters of recommendation. We think about what outfit we’ll wear to the job interview, how we’ll answer those tricky questions, and what our career plan looks like. But, in fact, having multiple references lined up who will speak favorably about you to a potential employer is critical to landing a job. This aspect of job searching really can’t be ignored.
Job Rejection Email Response with Examples
Glassdoor estimates that, on average, there are about 250 applicants for every job vacancy out there. If you’ve ever applied for a job, the odds are that you’ve received the dreaded job rejection email.