EAP, Carelon/Anthem, IEHP, CalOptima, and any additional contracted payers. Submission must be completed before the client... EAP, Carelon/Anthem, and Medi-Cal managed care plans (including CalOptima and IEHP). Strong working knowledge of the...
skills General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English...
of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish, or English/Vietnamese...
current. Enter guest case notes into internal and external database (HMIS, CES System, WellSky, and CalOptima) in a timely... files. Accuracy of CalOptima (CalAIM) billing process submission in a timely manner by designated deadline. Practice...
including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. Follow up unpaid claims and work toward resolution. Resolve billing...
, CalOPTIMA, MediCal, etc. Qualifications: Bilingual in Spanish Previous Medical Front Office experience Knowledge...
General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish...
as needed. Qualifications At least two years medical back office experience. Knowledge of insurance groups e.g. Medi-Cal, CalOptima, Medicare...
Intern (Enterprise Architecture) - Fall 2026 CalOptima Join Us in this Amazing Opportunity The Team You'll... & Abilities to Bring to this Role: - Develop rapport and establish and maintain effective working relationships with CalOptima...
Actuary CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community... in Orange, CA, at least two (2) days per week minimum. The Actuary will ensure the fiscal integrity of CalOptima Health...