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Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors ( Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
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Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
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Several factors can influence the pay scale for a position including but not limited to, Federal Government contract labor categories and contract wage rates, collective bargaining agreements, geographic location, business considerations, scope and responsibilities of the position, local or other applicable market conditions, and internal equity.
$240,107 a yearExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Includes oversight responsibility for government contract compliance audit and training functions. Direct experience with defense contract industry. Job Description:The Government Property Compliance Manager is responsible for planning and directing the government compliance function; provides focus for efforts relating to compliance with government procurement laws and regulations.
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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.
$140,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Experience with government contract law or health law preferred. Review regulations, government and commercial health plan contracts, and other documents affecting such activities, and identifying and appropriately responding to regulatory risks or opportunities.
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Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). The Collector serves as the account representati ve for Client in working with insurance companies,government payors, and/or patients for resolution of payments and accounts resolution.
$28.83 an hourFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The Collector II serves as the account representative responsible for engaging with insurance companies, government payors, and patients to resolve payment issues and ensure account resolution for Hoag. This role requires thorough knowledge of the Revenue Cycle process, from Patient Access through Patient Financial Services.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Collector serves as the account representative for hospital in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution. Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations admissions) through Patient Financial Services (billing & collections), including procedures and policies.
ExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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The Collector serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution. Working knowlege of Epic Resolute, Eric Care, and Epic CPOE.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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The incoming Economic Development Manager will have strong knowledge of the principles and practices of public administration and municipal government management, including budget development and administration, public agency contract administration, administrative practices, public relations, evaluation techniques, and development and economic strategies.
$153,480 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Duration: Contract of 6 months extendable. Address: 2995 Red Hill Ave, Hoag Memorial Hospital Costa mesa CA. Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to Hoag.
$30 an hourExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Operations Director of Business Development is responsible for leading corporate-priority business development capture activities and establishing business development processes across the enterprise including bid/proposal processes, contract negotiations, and CRM data management.
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Experience working on U.S. Government contract proposals as an Information Assurance Engineer subject matter expert. Active and transferable U.S. government issued Secret security clearance is required prior to start date.
$221,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The firm is the first to provide US Federal Government contract debt-financing, which is structured around Federal contract awards, and to do so under the Department of Defense ‘Trusted Capital Provider’ designation.
$80,000 a yearFull-timeExpandApply NowActive JobUpdated 15 days ago
contract government jobs in Westminster, CA
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