- Fresenius Medical Center (Moreno Valley, CA)
- …"material assist" devices for the heavier items. **EDUCATION** + Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification or High ... testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all...+ Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING… more
- Fresenius Medical Center (Culver City, CA)
- …"material assist" devices for the heavier items. **EDUCATION** + Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification or High ... testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all...+ Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING… more
- Prime Healthcare (Ontario, CA)
- …California Applicants: https://www.primehealthcare.com/wp- content /uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect ... Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates...An understanding of federal guidance from OIG, DOJ, and CMS on developing and maintaining effective compliance programs +… more
- UCLA Health (Los Angeles, CA)
- …including ICD-10, CPT, and HCPCS coding systems + In-depth knowledge of CMS , Medicare , HIPAA, and payer-specific guidelines, especially for teaching hospitals ... actions as needed + Collaborate with IT, Compliance, and Billing teams to improve system edits and reduce denials + Lead regular meetings with coding leadership to… more
- Humana (Sacramento, CA)
- …degree + 3 or more years of healthcare experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) ... and internal controls, and communicating issues and recommendations to management . Coordinates implementation and compliance with corrective action plans.… more
- Humana (Sacramento, CA)
- …data driven methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care, ... pharmacy related field + Experience in Formulary strategy/development and CMS Part D guidance + Experience in analysis and...with staff in different positions and all levels of management positions. + Ability to prioritize, organizes, and executes… more
- United Therapeutics (CA)
- …Teams + Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services ( CMS ) policies and processes with expertise in ... scheduled team meetings and calls. Input call activity into customer relationship management tool (CRM). + Provide office education and awareness during the entire… more
- The County of Los Angeles (Los Angeles, CA)
- …points being awarded. + Yes + No 11 Do you possess any Centers for Medicare and Medicaid Services ( CMS ) Specialty Certifications? If your answer is yes, forEACH ... periodic spot reviews of health facilities in the district. Processes Medicare /Medi-Cal non-renewals and decertification and handles hearings and depositions related… more
- Aston Carter (Valencia, CA)
- …demands extensive expertise in navigating the intricacies of private insurance carriers, Medicare , and Medicaid, along with a robust ability to drive evidence-based ... to secure coverage, reimbursement, and pricing for medical devices across Medicare , Medicaid, and private payers. + Build relationships with commercial payers,… more
- Dignity Health (Rancho Cordova, CA)
- …and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for coordination of services for Mercy ... to remain in compliance with Regulatory Agencies (DMHC DHS CMS NCQA ICE) - Supervises the use of established...ICE) - Supervises the use of established criteria sets ( Medicare Guidelines InterQual Health Plan Benefit Interpretation Guidelines and… more