…+ Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working

…each payor within the patient population * Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely

…may include, but is not limited to the Emergency Department log, physicians, nurses, Managed Care and the clients themselves. b. Screens all potential case

…Work, Counseling, Education, or related field and 3 years' experience in Acute or Managed Care / experience with Medicaid or Medicare populations. OR + Bachelor's

…SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years

…requirements and quality standards are being monitored effectively.Maintain an understanding of basic managed care concepts and principles including Managed

…+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid). + Provide assistance with new

…or exceeds standards set by the facility. + Educate patients on both clinical and managed care . + Participate in clinic and network task forces as requested and

…skills. You will work collaboratively with the patient, community resources, other providers, managed care operations, the UCLA Health System, and health plans

…an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of