General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish...
for disenrolling from PACE services. May be required to perform home visits to private homes of CalOptima Health's PACE participants... Qualifications: 1 year of case management experience with the elderly population. Bilingual in English and in one of CalOptima...
including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. Follow up unpaid claims and work toward resolution. Resolve billing...
database (HMIS, CES System, WellSky, and CalOptima) in a timely manner (as each database requires). Exit guests from case load... and internal/external database, close out guests’ physical files Accuracy of CalOptima (CalAIM) billing process submission...
database (HMIS, CES System, WellSky, and CalOptima) in a timely manner (as each database requires). Exit guests from case load... and internal/external database, close out guests’ physical files. Accuracy of CalOptima (CalAIM) billing process submission...
. Ensure timely and accurate documentation of case notes, service records, and updates in AICA, HMIS, and CalOptima Connect...