software including Windows, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California driver’s license and proof... of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company...
for most of the day. Ability to lift, carry, or move objects of varying size, weighing up to 25 lbs All HealthPlan employees... employees;Maintain safe practices;and Abide by the HealthPlan’s policies and procedures, as they may from time to time...
-active Medicare or Third Party coverage and the recoupment of same. Research and process all Partnership product lines... to Partnership, reason for the refund;Identifies configuration or training issues related to the payment received;Recommends...
system software including Windows, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California driver’s license... and proof of current automobile insurance compliant with Partnership’s policy are required to operate a vehicle and travel...
Overview: Represents Partnership in the Grievance & Appeals Resolution process. Responsible for reviewing... guidelines, NCQA standards, and Partnership best practices. Works independently, provides leadership on each investigation...
and effectively through all mediums of communication with members, providers, vendors, community partners, and Partnership employees... and timely documentation, records, and case files in the Partnership Case Management System for members in case management...
and effectively through all mediums of communication with members, providers, vendors, community partners, and Partnership employees... and timely documentation, records, and case files in the Partnership Case Management System for members in case management...
of various computer system software including Windows, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California... driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate...
of various computer system software including Windows, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California... driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate...
, Partnership Claims Operating Instruction Memorandums, State of California Medi-Cal Provider Manual guidelines, Title 22... Report. - Routes claims to appropriate Partnership departments and internal staff for additional review. Follows up...