Quality Assurance Analyst -Junior Tester
, usability, boundary testing). 3 years deep knowledge of healthcare operations (preferably Medicaid), business processes...
, usability, boundary testing). 3 years deep knowledge of healthcare operations (preferably Medicaid), business processes...
with completion of Medicaid, disability, pharmacy program or other eligibility applications, and scheduling appointments to designated...
quarterly pricing component updates to maintain strict compliance with CMS, Medicare, and Medicaid rules. Act as the primary...
: Provider credentialing and enrollment CAQH management Medicare/Medicaid enrollment Insurance verification Healthcare...
in Medicaid regulations Experience in customer service/member services within the healthcare sector Experience working... of cultural diversity and sensitivity towards the Medicaid population with demonstrated expertise in topics related to cultural...
/Medicaid program eligibility;EHR documentation proficiency;adult and pediatric care competency Responsibilities: Provide...
built on Microsoft Azure and Power BI for the Child Welfare and Medicaid Program(s). The Department of health and human...
. Maintain accurate documentation, service logs, progress reports, and Medicaid billing documentation as required. Collaborate... and implementation. Familiarity with Medicaid billing and compliance requirements. Experience serving diverse student populations...
and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free...
claims, resolving payment issues, appealing denials, and ensuring timely reimbursement from Medicare, Medicaid/Medi-Cal.... Familiarity with Medicare, Medi-Cal/Medicaid, and commercial payer guidelines. Proficiency in Microsoft Office and hospital...