…Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral

…performing claims audits or claims processing related to Medi-Cal, Cal MediConnect, and/or other managed care product lines similar to LA Care 's, LA

…and/or electronic medical record. **SKILLS AND KNOWLEDGE** + Working knowledge of managed care requirements and processes. + Knowledge of system, affiliate

…LCD/NCDs. Comprehensive understanding of reimbursement theories to include DRG, OPPS, HCC and managed care . Ability to review, analyze and interpret managed

…Provides hospital operations coaching or mentoring + Takes a proactive approach to managed care , healthcare reform and related issues General Duties + Represents

…a working knowledge of the principles of fee-for-services, preferred provider network and managed care /HMO organizations is highly desirable. * Knowledge of a

…of Patient Access including governmental and commercial insurance requirements, managed care contractual requirements, patient eligibility, utilization

…nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer

…_Regular Full-Time_ **Job Number** _145226_ **Job Category** _Revenue Cycle & Managed Care_ **Schedule** _8:30a-5p_ **Standard Hours** _40 Hours_ **Hourly Minimum**