- LA Care Health Plan (Los Angeles, CA)
- …Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full ... documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This position is… more
- City and County of San Francisco (San Francisco, CA)
- …meet all of the following criteria: + Be eligible to participate in Medicare , Medicaid, and/or other federal healthcare programs + Possess a National Provider ... + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR have submitted a completed billable… more
- The County of Los Angeles (Los Angeles, CA)
- …quality assessment and assurance monitoring processes; and handle informal complainant appeals . Health Facilities Program Manager, Nursing positions are required to ... enforcement actions for the Division, including processing license revocations, Medicare and Medi-Cal de-certifications, and criminal complaints; and provides… more
- City and County of San Francisco (San Francisco, CA)
- …issued by a national certifying body or organization recognized by Medicare . + Specific specialties may have additional requirements. Applicants must meet ... may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department...regarding this recruitment or application process, please contact the analyst , Stephen Lee at ###@sfdph.org or ###. We may… more