- Allied Universal (Mission Viejo, CA)
- …Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements. The Inspector works ... demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/ representative throughout the entire site inspection process. **QUALIFICATIONS (MUST… more
- Molina Healthcare (Los Angeles, CA)
- …sales and marketing of Molina Medicare products to dual eligible, Medicare- Medicaid recipients within approved market areas to achieve stated revenue, profitability, ... the product choices available to them, the enrollment process ( eligibility requirements, Medicare review/approval of their enrollment application, timing of… more
- Surgery Care Affiliates (Long Beach, CA)
- …+ Verify that sufficient information is available for accurate verification and eligibility . This step may require direct contact with the physician office and/or ... for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility , benefits and/or… more
- Fresenius Medical Center (Antioch, CA)
- …+ Educates on the availability of alternative insurance options (ie, Medicare, Medicaid , Medicare Supplement, State Renal programs and COBRA). + Ensures patients ... insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare … more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …and facilitating prior authorizations. The associate will also assess patient eligibility for admission based on benefit verification results and triage ... therapy initiation. DUTIES/RESPONSIBILITIES: . Verify pharmacy benefits including coverage, eligibility , copay, coinsurance, deductibles, and network status. . Determine… more
- Dignity Health (Santa Maria, CA)
- …of the organization's objectives as a field-based business development representative , consistently meeting the volume expectations for referrals and admissions. ... care services for clients in the following manner: a. Determines patient eligibility for home care services. b. Effectively communicates with appropriate disciplines… more