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...
Member Liaison Specialist (Customer Service) CalOptima Join Us in this Amazing Opportunity The Team You'll... needs within and outside the health network and CalOptima Health during the original interaction. - Addresses member...
skills General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English...
including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. Follow up unpaid claims and work toward resolution. Resolve billing...
of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish, or English/Vietnamese...
with IEHP, Molina, CalOptima, Health Net, and Anthem payer portals. Power BI experience. Experience with capitated...
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...
, CalOPTIMA, MediCal, etc. Qualifications: Bilingual in Spanish Previous Medical Front Office experience Knowledge...
as needed. Qualifications At least two years medical back office experience. Knowledge of insurance groups e.g. Medi-Cal, CalOptima, Medicare...