Provider Relations Rep Job Description Why CalOptima? CalOptima is the single largest health plan in Orange... you to join CalOptima. Job Summary The Provider Relations Representative is responsible for assisting with provider relations...
of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish, or English/Vietnamese...
including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. Follow up unpaid claims and work toward resolution. Resolve billing...
resident case notes into internal and external database (HMIS, CES System, Wellsky, CalOptima) in a timely manner... (as each database requires). Accuracy of CalOptima (CalAIM) billing process submission in a timely manner by designated deadline...