, Medicare, Medi-Cal, and SNF regulations Participate in IDT meetings and case conferences Support quality improvement...
between an HMO and PPO Ability to know the difference between Blue Cross and Blue Shield Ability to determine Medi-Cal HMO patients... authorization for HMO commercial and Medi-cal HMO Awareness of completing all patient Demographics to avoid claim rejections...
by Gainwell on the Medi-Cal account. The position is responsible for the quality management program and is the primary point... of communication with the client. The position will use deep healthcare claims processing and Medi-Cal policy knowledge to ensure...
Regulated inspections such as Cal OSHA Boom Inspections and CHP BIT Inspections Vehicle electrical systems and electronic...
with legal requirements per Los Angeles, Cal. Muni. Code 189.04 and the San Francisco Fair Chance Ordinance. For additional state...
as required by the tasks being performed. Be able to work in a safe manner and comply with all applicable OSHA and Cal/OSHA rules...
. per CA experience (maybe so cal). be able to use Cerner. experience with Interquall is a plus. possible extension, need to be able...
CDS Certification preferred Experience with Medicare and Medi-Cal preferred Minimum 2–3 years of experience, ideally...
skills, education, experiences, licenses and certifications: High School diploma, GED or equivalent, Medi-Cal Peer Support...
in Spanish Active DEA license and approved credentials with health plans, including NPI registration Knowledge of Denti-Cal... background: DDS or DMD from an accredited School of Dentistry Experience working with Denti-Cal and understanding of Federally...